Provider Demographics
NPI:1629154059
Name:JAMES, RODNEY LEROY (DC)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:LEROY
Last Name:JAMES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36067-5730
Mailing Address - Country:US
Mailing Address - Phone:334-361-9500
Mailing Address - Fax:334-361-1243
Practice Address - Street 1:902 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36067-5730
Practice Address - Country:US
Practice Address - Phone:334-361-9500
Practice Address - Fax:334-361-1243
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1810111N00000X, 111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4410091OtherUNITED HEALTH CARE
AL4410091OtherUNITED HEALTH CARE