Individual
DEBRA RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 OLYMPIA FLDS, JACKSON, MS 39211-2510
(601) 956-7805
(601) 956-7805
Mailing address
175 OLYMPIA FLDS, JACKSON, MS 39211-2510
(601) 956-7805
(601) 956-7805
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
08039
MS
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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