Individual
MRS. TERRI CRAFT RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 N TRYON ST, CHARLOTTE, NC 28206-3253
(704) 906-9422
Mailing address
1018 N TRYON ST, CHARLOTTE, NC 28206-3253
(704) 906-9422
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
22394132
NC
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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