Individual
KRYSTAL RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
926 DARLINGTON WAY SW, ROME, GA 30161-6135
(706) 266-9748
Mailing address
926 DARLINGTON WAY SW, ROME, GA 30161-6135
(706) 266-9748
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
DEPARTMENT OF VA
—
Enumeration date
09/13/2019
Last updated
09/13/2019
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