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Contact Information

RANDOLPH L RODRIGUE, MD
170 AMENDMENT AVE
ROCK HILL, SC29732
 Phone: 803-324-7607
 Fax: 803-324-1449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for RANDOLPH L RODRIGUE · (Male)

NPI # 1104880095
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2006
Last updated 06/10/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 15777
  • SC Medicaid PL0664
  • SC Medicaid TL5901
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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