Individual
WAYNE GLENN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3B CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 232-0196
(864) 351-0373
Mailing address
3B CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 232-0196
(864) 351-0373
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
6924
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0198
—
SC
Enumeration date
05/16/2006
Last updated
11/14/2011
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