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Individual

DR. JAMINE C. ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
301 W STATE ST, MUSCLE SHOALS, AL 35661-2835
(256) 314-0676
(256) 314-6373
Mailing address
301 W STATE ST, MUSCLE SHOALS, AL 35661-2835
(256) 314-0676
(256) 314-6373

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4664
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
92836
BCBS PROVIDER ID
AL
Enumeration date
09/01/2006
Last updated
07/08/2007
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