Individual
THOMAS C ROGERS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
(478) 254-5324
Mailing address
3708 NORTHSIDE DRIVE, MACON, GA 31210
(478) 745-4206
(478) 254-5324
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
RN183433
GA
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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