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NPI Code Detail

MEDICARE: MRS. APRIL T ROGERS PAC

MEDICARE: MRS. APRIL T ROGERS PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantA670IMSC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P379725684OTHERSCMEDICARE PTAN
2C30400OTHERSCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245280866
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. APRIL T ROGERS PAC
Provider Business Mailing Address
First Line : 641 W WESMARK BLVD
Second Line :
City : SUMTER
State : SC
Zip : 29150-1900
Country : US
Telephone Number : 803-905-6944
Fax Number : 803-469-3944
Provider Business Practice Location Address
First Line : 641 W WESMARK BLVD
Second Line :
City : SUMTER
State : SC
Zip : 29150-1900
Country : US
Telephone Number : 803-905-6944
Fax Number : 803-469-3944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 08/21/2013

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Directions to “ MRS. APRIL T ROGERS PAC” Practice Location

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