Individual
MR. JOHN M ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.PED.
Contact information
Practice address
1000 N PINE ST, SUITE 19, SPARTANBURG, SC 29303-3151
(864) 583-4452
(864) 582-2728
Mailing address
1000 N PINE ST, SUITE 19, SPARTANBURG, SC 29303-3151
(864) 583-4452
(864) 582-2728
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2516
—
SC
Enumeration date
09/21/2006
Last updated
07/08/2007
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