Individual
PHILLIP ERIC RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
630 NORTHWEST AVE, DURANT, MS 39063-3337
(662) 653-3011
Mailing address
13418 ATTALA ROAD 4101, SALLIS, MS 39160-5242
(601) 613-7835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906890
MS
Other
Enumeration date
08/26/2024
Last updated
10/20/2025
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