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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1669674909 NPPES
Georgia MEDICAID 003128727A
Georgia MEDICAID 003128727F

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