Rogers, John Mark

Rogers, John Mark is an individual health care provider with primary practice located at 1210 W Faris Rd , Greenville SC 29605-4444. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rogers, John Mark can be contacted via phone (864) 221-8005.

Contact Information

Primary practice address
1210 W Faris Rd Greenville SC 29605-4444
Phone: (864) 221-8005
Fax: (864) 522-1806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 10979 South Carolina

Profile Details

NPI number 1336111350
LBN Legal business name Rogers, John Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Dec 7th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336111350 NPPES
South Carolina MEDICAID 109796
South Carolina Other P00825489

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