| Theus W. Rogers, Pc | |
|
1240 Wildwood Ave Columbus GA 31906-2538 | |
| (706) 321-9800 | |
| (706) 321-8284 |
| Full Name | Theus W. Rogers, Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1240 Wildwood Ave, Columbus, Georgia |
| Authorized Official Name and Position | Theus W Rogers (DR. / PRESIDENT) |
| Authorized Official Contact | 7063219800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theus W. Rogers, Pc 1240 Wildwood Ave Columbus GA 31906-2538 Ph: (706) 321-9800 | Theus W. Rogers, Pc 1240 Wildwood Ave Columbus GA 31906-2538 Ph: (706) 321-9800 |
| NPI Number | 1194983262 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194983262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC001518 (Georgia) | Primary |
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