Individual
JODI ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 384-1900
Mailing address
1101 OCILLA RD, DOUGLAS, GA 31533-2262
(912) 384-1900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN232628
GA
Other
Enumeration date
03/23/2018
Last updated
03/29/2018
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