Organization
JERRY D ROGERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY D ROGERS (OWNER)
(731) 925-4902
Entity
Organization
Contact information
Practice address
175 JI BELL LN, SAVANNAH, TN 38372-5110
(731) 925-4902
(731) 925-4445
Mailing address
PO BOX 638, SAVANNAH, TN 38372-0638
(731) 925-4902
(731) 925-4445
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
02/21/2008
Last updated
03/07/2008
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