Individual
MS. DENINE MARION ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
1075 WALKER PLACE DRIVE, DOUGLASVILLE, GA 30134
(678) 952-9881
(770) 693-1185
Mailing address
1075 WALKER PLACE DRIVE, DOUGLASVILLE, GA 30134
(678) 952-9881
(770) 693-1185
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001969
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71BBBSJ
—
GA
Enumeration date
01/29/2007
Last updated
11/16/2023
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