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Individual

PAUL DANIEL RODGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
211 BETH ST, GREENVILLE, NC 27858-8607
(252) 717-6990
Mailing address
211 BETH ST, GREENVILLE, NC 27858-8607
(252) 717-6990

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
08/29/2019
Last updated
08/29/2019
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