Individual
MR. BENJAMIN L RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
748 ORANGEBURG RD, SUMMERVILLE, SC 29483-8934
(843) 832-8606
(843) 285-7272
Mailing address
748 ORANGEBURG RD, SUMMERVILLE, SC 29483-8934
(843) 832-8606
(843) 285-7272
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20260
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T43441
—
SC
Enumeration date
09/16/2005
Last updated
06/03/2011
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