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Roderick Shanks
NPI 1548813272 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1636 N Popps Ferry Rd # A2 & A4
Biloxi, MS 39532 - Phone
- (228) 967-7991
- Fax
- (228) 967-7999
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi