| Doctor Name: | DR. MARILYN ANNE RODERICK |
| NPI Number: | 1932334166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M,D, |
| License Number: | G-53149 |
| Business Practice Address: | 15 Hill Plz Suite A Whiteville, NC - 284724950 |
| Business Phone Number: | 9102076440 |
| Business Fax Number: | 9102076444 |
| Mailing Address: | 60 Commerce Plaza Cir, PEMBROKE |
| State: | NC |
| Postal Code: | 283727386 |
| Phone Number: | 9105212900 |
| Fax Number: | 9107759165 |
| NPI Enumeration Date: | 05/18/2009 |
| NPI Last Update Date: | 05/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G-53149 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |