Individual
WILLIS ANTHONY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
253 SUMMIT VIEW DR, MCDONOUGH, GA 30253-7773
(770) 712-0661
Mailing address
253 SUMMIT VIEW DR, MCDONOUGH, GA 30253-7773
(770) 712-0661
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
GA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/03/2015
Last updated
06/01/2023
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