Individual
RYAN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17007 HIGHWAY 67, STATESBORO, GA 30458-2426
(912) 681-2500
(912) 681-2025
Mailing address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11904
GA
363A00000X
Physician Assistant
Primary
11904
GA
Other
Enumeration date
06/01/2022
Last updated
06/30/2025
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