Individual
JANA M RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3182 CAMENS WAY, BUFORD, GA 30519-6775
(770) 375-8526
Mailing address
3182 CAMENS WAY, BUFORD, GA 30519-6775
(770) 375-8526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004021
GA
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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