Provider Demographics
NPI:1295770345
Name:RHODES, DONALD W JR (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:W
Last Name:RHODES
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2601 VILLAGE PROFESSIONAL DR N
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-4784
Mailing Address - Country:US
Mailing Address - Phone:334-528-5400
Mailing Address - Fax:334-528-5421
Practice Address - Street 1:2601 VILLAGE PROFESSIONAL DR N
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-4784
Practice Address - Country:US
Practice Address - Phone:334-528-5400
Practice Address - Fax:334-528-5421
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2021-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00024975207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529801770Medicaid
AL051513156Medicaid
AL051513156OtherBCBS OF AL
P00021743OtherMEDICARE RAILROAD