Individual
KRYSTAL RENEE' ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2100 BULL STREET, N-123, COLUMBIA, SC 29201
(803) 898-1922
(803) 898-0163
Mailing address
2100 BULL STREET, N-123, COLUMBIA, SC 29201
(803) 898-1922
(803) 898-0163
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219482
SC
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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