Individual
JEFFERSON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1481 GRANTHAM RD, SUMRALL, MS 39482-4089
(601) 517-2789
Mailing address
1481 GRANTHAM RD, SUMRALL, MS 39482-4089
(601) 517-2789
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30910
MS
Other
Enumeration date
04/05/2017
Last updated
02/18/2023
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