Individual
LISA BOOTHE ROGERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 823-2228
Mailing address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 823-2228
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
476
SC
Other
Enumeration date
05/22/2006
Last updated
07/08/2007
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