Individual
MICHELLE L ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5110 FAIRFIELD RD, COLUMBIA, SC 29203-4323
(803) 893-7019
Mailing address
PO BOX 740013, ATLANTA, GA 30374-0013
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
28211
SC
363LF0000X
Family Nurse Practitioner
Primary
28211
SC
Other
Enumeration date
05/16/2024
Last updated
10/18/2024
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