Individual
DR. KERRY C. RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 WATSON BLVD, WARNER ROBINS, GA 31093-3633
(478) 923-0144
(478) 923-3471
Mailing address
1701 WATSON BLVD, WARNER ROBINS, GA 31093-3633
(478) 923-0144
(478) 923-3471
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
067748
GA
208600000X
Surgery Physician
23837
WV
208600000X
Surgery Physician
239120
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003128727A
—
GA
05
—
003128727F
—
GA
Enumeration date
05/31/2007
Last updated
09/06/2019
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