Individual
NATARA JAMIL ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4858 WINTERVIEW LN, DOUGLASVILLE, GA 30135-1987
(757) 748-8801
Mailing address
4858 WINTERVIEW LN, DOUGLASVILLE, GA 30135-1987
(757) 748-8801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN267836
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
BUSINESS
GA
Enumeration date
03/11/2021
Last updated
03/11/2021
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