Individual
LINDSEY AMANDA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
823 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 347-8600
Mailing address
611 BURROUGHS AND CHAPIN BLVD STE 105, MYRTLE BEACH, SC 29577-3200
(843) 347-8600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23003
SC
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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