| Debra E Rodgers Md Pa | |
|
175 Olympia Flds Jackson MS 39211-2510 | |
| (601) 956-7805 | |
| (601) 956-7805 |
| Full Name | Debra E Rodgers Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 175 Olympia Flds, Jackson, Mississippi |
| Authorized Official Name and Position | Debra E Rodgers (PRESIDENT) |
| Authorized Official Contact | 6019567805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra E Rodgers Md Pa 175 Olympia Flds Jackson MS 39211-2510 Ph: (601) 956-7805 | Debra E Rodgers Md Pa 175 Olympia Flds Jackson MS 39211-2510 Ph: (601) 956-7805 |
| NPI Number | 1285846774 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285846774 | NPI | - | NPPES |
| 00019408 | Medicaid | MS | |
| 426961629 | Other | MS | MS BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 08039 (Mississippi) | Primary |
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