Individual
SUSAN DALE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
480 HUTCHINSON DR, CARTHAGE, MS 39051-7588
(601) 416-0652
Mailing address
480 HUTCHINSON DR, CARTHAGE, MS 39051-7588
(601) 416-0652
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-095909
AL
367500000X
Certified Registered Nurse Anesthetist
3265
CA
367500000X
Certified Registered Nurse Anesthetist
PENDING
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
R833525
MS
Other
Enumeration date
03/30/2006
Last updated
09/30/2015
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