Rogers, Dominic Deon

Rogers, Dominic Deon is an individual health care provider with primary practice located at 164 Waccamaw Medical Park Dr , Conway SC 29526-8903. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Rogers, Dominic Deon can be contacted via phone (843) 347-4888.

Contact Information

Primary practice address
164 Waccamaw Medical Park Dr Conway SC 29526-8903
Phone: (843) 347-4888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1831450154
LBN Legal business name Rogers, Dominic Deon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2012
Last updated Jun 4th, 2012 - about 12 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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