Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1810 | AL |
N | 111NR0200X | Radiology | 1810 | AL |
N | 213ER0200X | Radiology | 1810 | AL |
NPI | 1629154059 |
---|---|
Provider Name | Mr. Rodney Leroy James |
First Address | Prattville, AL 36067-5730 |
Second Address | Prattville, AL 36067-5730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4410091 | UNITED HEALTH CARE (01) | AL |
U69018 | (02) | AL |