Individual
AMANDA JOY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 GRAYTON WAY, PERRY, GA 31069-4848
(478) 954-1585
Mailing address
111 GRAYTON WAY, PERRY, GA 31069-4848
(478) 954-1585
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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