Rodgers, Kerry C.
Rodgers, Kerry C. is an individual health care provider with primary practice located at 1701 Watson Blvd , Warner Robins GA 31093-3633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rodgers, Kerry C. can be contacted via phone (478) 923-0144.Contact Information
Primary practice address
1701 Watson Blvd
Warner Robins GA 31093-3633
Phone: (478) 923-0144
Fax: (478) 923-3471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 23837 | West Virginia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 239120 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 067748 | Georgia |
Profile Details
| NPI number | 1669674909 |
|---|---|
| LBN Legal business name | Rodgers, Kerry C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Sep 6th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669674909 | NPPES |
| Georgia | MEDICAID | 003128727A | |
| Georgia | MEDICAID | 003128727F |
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