Doctor Name: | CARL RAY RHODEN |
NPI Number: | 1992026579 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 125058397 |
Business Practice Address: | 865 W Lake Dr Mount Airy, NC - 270302157 |
Business Phone Number: | 3367196100 |
Business Fax Number: | 3367192313 |
Mailing Address: | Po Box 751803, CHARLOTTE |
State: | NC |
Postal Code: | 282751803 |
Phone Number: | 3367196100 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2010 |
NPI Last Update Date: | 01/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 125058397 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |