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Individual

DR. WILLIAM JORDAN ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1151 ROBERT M GRISSOM PKWY, MYRTLE BEACH, SC 29577-5664
(843) 839-5588
(843) 839-5591
Mailing address
1151 ROBERT M GRISSOM PKWY, MYRTLE BEACH, SC 29577-5664
(843) 839-5588
(843) 839-5591

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5628
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CH4936
SC
Enumeration date
05/08/2023
Last updated
04/09/2024
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