1871521435 NPI number — MARGARET PLYLER RHOAD RPH

Table of content: MARGARET PLYLER RHOAD RPH (NPI 1871521435)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871521435 NPI number — MARGARET PLYLER RHOAD RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RHOAD
Provider First Name:
MARGARET
Provider Middle Name:
PLYLER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871521435
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 VONDA KAY CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29072-9166
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-356-2407
Provider Business Mailing Address Fax Number:
803-896-6252

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8500 FARROW RD
Provider Second Line Business Practice Location Address:
BUILDING 16
Provider Business Practice Location Address City Name:
STATE PARK
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29147
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-896-3803
Provider Business Practice Location Address Fax Number:
803-896-6252
Provider Enumeration Date:
06/30/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  4975 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)