Provider Demographics
NPI:1497727069
Name:STINNETT, RODNEY G (MD)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:G
Last Name:STINNETT
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 1:190 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28741-7600
Mailing Address - Country:US
Mailing Address - Phone:828-526-1495
Mailing Address - Fax:828-526-1227
Practice Address - Street 1:190 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741-7600
Practice Address - Country:US
Practice Address - Phone:828-526-1495
Practice Address - Fax:828-526-1227
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC308642085R0202X
KY231032085R0202X
TNMD00000302202085R0202X
VA01010276262085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890184YMedicaid
NC203879BMedicare ID - Type Unspecified
NC890184YMedicaid