Lisa Rodgers

NPI #1053724500 in Columbia, South Carolina

Provider Information

NPI Number: 1053724500
Entity Type: Individual
Name: Lisa Rodgers
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 3, 2014
Last Updated: Jun 3, 2014

Practice Location

Address: 6439 GARNERS FERRY RD
City: Columbia
State: South Carolina
ZIP Code: 29209-1638
Phone: (803) 776-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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