Provider Demographics
NPI:1477641751
Name:RHOADES, ALAN RAYMOND (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:RAYMOND
Last Name:RHOADES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3670 S NEW HOPE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-8597
Mailing Address - Country:US
Mailing Address - Phone:704-709-3239
Mailing Address - Fax:704-478-8194
Practice Address - Street 1:3670 S NEW HOPE RD STE 1
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056
Practice Address - Country:US
Practice Address - Phone:704-709-3239
Practice Address - Fax:704-478-8194
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-00193207RA0401X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine