Bradyn Edward Roddy

NPI 1063681542 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1063681542
Gender Male
Enumeration Date 02/28/2008
Last Updated 02/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
20 POWDERHORN RD
SIMPSONVILLE SC, 29681-3399, US
Phone (864) 963-3421
Fax (864) 962-0758
Business Location
20 POWDERHORN RD
SIMPSONVILLE SC, 29681-3399, US
Phone (864) 963-3421
Fax (864) 962-0758
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Bradyn Edward Roddy NPI is 1063681542, taxonomy code is 171M00000X Bradyn Edward Roddy physically located at 20 Powderhorn Rd, Simpsonville SC, 29681-3399. NPI Number Bradyn Edward Roddy has the Individual type.

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1063681542 NPI number is provided on an as is basis without warranty of any kind. 1063681542 is maintained by the National Plan & Provider Enumeration System. The contents of Bradyn Edward Roddy are for informational purposes only.