Individual
MR. JESSE EDWARD ROGERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
801 W GORDON ST, THOMASTON, GA 30286-3426
(706) 647-8111
Mailing address
195 PEACHBELT RD, THOMASTON, GA 30286-4076
(706) 975-7589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8346
GA
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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