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Roderick Elliott Howard

NPI Registration Record

Provider / OrganizationNPIDate Certified
RODERICK ELLIOTT HOWARD13569681922020-06-27
Entity TypeIndividual
Provider Name Roderick Elliott Howard AM
Practice Office Address43 CLAY ST APT 4
FAIRBURN, GA US
Practice Office Telephone6788665685
Mailing Address43 CLAY ST APT 4
FAIRBURN, GA 302131440 US
Business Telephone6788665685
HPT Codes
CodeLicense NoState
225700000X PRIMARY009770 GA
OPI Codes

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