Doctor Name: | DR. PHYLLIS W. ROGERSON |
NPI Number: | 1215940978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 14017 |
Business Practice Address: | 1400 Hospital Dr Mt Pleasant, SC - 294643255 |
Business Phone Number: | 8438840301 |
Business Fax Number: | 8438849620 |
Mailing Address: | Po Box 751649, CHARLOTTE |
State: | NC |
Postal Code: | 282751649 |
Phone Number: | 8437891620 |
Fax Number: | 8437242440 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 10/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 14017 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |