Tawanna Denise Rogers
NPI #1417635889 in Fort Valley, Georgia
Provider Information
- NPI Number
- 1417635889
- Entity Type
- Individual
- Name
- Tawanna Denise Rogers
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jul 6, 2023
- Last Updated
- Jul 6, 2023
Practice Location
- Address
- 113 HARTLEY ST
- City
- Fort Valley
- State
- Georgia
- ZIP Code
- 31030-4477
- Phone
- (478) 391-4906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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