Individual
RODGER ALLEN FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/L, LMT
Contact information
Practice address
148 TIMBER RIDGE DR, MACON, GA 31216-5675
(661) 478-6501
Mailing address
148 TIMBER RIDGE DR, MACON, GA 31216-5675
(661) 478-6501
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001855
GA
225700000X
Massage Therapist
MT007760
GA
Other
Enumeration date
08/10/2011
Last updated
05/27/2015
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