Individual
MARK RODGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
145 WATERSTONE DR, LEXINGTON, SC 29072-6712
(803) 348-4288
Mailing address
145 WATERSTONE DR, LEXINGTON, SC 29072-6712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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