Organization
JEFFERSONR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERSON LEE GRAHAM ROGERS MD (PSYCHIATRIST)
(601) 517-2789
Entity
Organization
Contact information
Practice address
509 CENTRAL AVE STE 243, LAUREL, MS 39440-3938
(601) 517-2789
Mailing address
1481 GRANTHAM RD, SUMRALL, MS 39482-4089
(601) 517-2789
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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