Doctor Name: | KATRINA RHODES |
NPI Number: | 1245355114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 0101251927 |
Business Practice Address: | 2780 General Puller Hwy Saluda, VA - 231493112 |
Business Phone Number: | 8047582381 |
Business Fax Number: | |
Mailing Address: | Po Box 415, SALUDA |
State: | VA |
Postal Code: | 231490415 |
Phone Number: | 8047582381 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 0101251927 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |