| Doctor Name: | RORY S. BRODIE |
| NPI Number: | 1538597455 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 18520 |
| Business Practice Address: | 345 Freshfields Dr Ste J101 Johns Island, SC - 294555443 |
| Business Phone Number: | 8437684800 |
| Business Fax Number: | 8436068039 |
| Mailing Address: | Po Box 751649, CHARLOTTE |
| State: | NC |
| Postal Code: | 282751649 |
| Phone Number: | 8437891620 |
| Fax Number: | 8437242440 |
| NPI Enumeration Date: | 10/31/2013 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 18520 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |