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Individual

MRS. ERIN PHILLIPS ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1 DOCTORS DR, GREENVILLE, SC 29605-4266
(843) 574-5693
(843) 764-4512
Mailing address
9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9125
(843) 574-5693
(843) 764-4512

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1703
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1272PA
SC
01
232009
MEDICARE
NC
Enumeration date
07/26/2006
Last updated
09/22/2023
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