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Individual

SCOTT RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5815
(601) 984-5842
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5815
(601) 984-5842

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
23594
MS
2084P0804X
Child & Adolescent Psychiatry Physician
MD34424
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04385578
MS
Enumeration date
10/09/2006
Last updated
03/02/2015
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