Provider Demographics
NPI:1679602551
Name:ROWLAND, TODD RICHARD (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:RICHARD
Last Name:ROWLAND
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:PO BOX 1209
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-1209
Mailing Address - Country:US
Mailing Address - Phone:843-652-8220
Mailing Address - Fax:843-520-8365
Practice Address - Street 1:4040 HIGHWAY 17
Practice Address - Street 2:SUITE 101
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-5098
Practice Address - Country:US
Practice Address - Phone:843-652-8160
Practice Address - Fax:843-652-8161
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC38896208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC38896OtherSTATE MEDICAL LICENSE
IN01049168OtherINDIANA LICENSE
IN01049168OtherINDIANA LICENSE
IN01049168OtherINDIANA LICENSE