Individual
SHATA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9708 N KINGS HWY STE 6, MYRTLE BEACH, SC 29572-4008
(843) 504-2188
Mailing address
9708 N KINGS HWY STE 6, MYRTLE BEACH, SC 29572-4008
(843) 504-2188
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IHCP2536
SC
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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