Individual
JENNIFER ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3708 EXECUTIVE CENTER DR STE B, MARTINEZ, GA 30907-0956
(762) 233-0327
Mailing address
510 COUNTRY GLEN DR, GROVETOWN, GA 30813-3950
(762) 233-0327
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO073979
GA
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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