Individual
JOI LIVINGSTON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 REGENCY PARK DR STE 140, MCDONOUGH, GA 30253-7076
(770) 957-8626
(770) 957-7200
Mailing address
1100 WARD ST EXT W, DOUGLAS, GA 31533
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
75881
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003166378B
—
GA
01
—
075881
MEDICAL LICENSE
GA
Enumeration date
06/25/2013
Last updated
12/20/2022
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