Individual
ASHLEIGHA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 MANNING AVE, SUMTER, SC 29150-5763
(803) 459-6163
Mailing address
175 NESTLE CT, COLUMBIA, SC 29209-4040
(803) 459-6163
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1311091906
—
SC
Enumeration date
07/24/2020
Last updated
07/30/2020
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