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NPI Code Detail

MEDICARE: MS. JOY L RODGERS PA-C

MEDICARE: MS. JOY L RODGERS PA-C
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
1363AM0700XMedical Physician AssistantPA751KY

General Provider Information

NPI Number : 1922073469
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOY L RODGERS PA-C
Provider Business Mailing Address
First Line : 2387 SULPHUR SPRING RD
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-8791
Country : US
Telephone Number : 740-637-5255
Fax Number :
Provider Business Practice Location Address
First Line : 17273 STATE ROUTE 104
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-9718
Country : US
Telephone Number : 740-773-1141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2006
Last Update Date : 03/29/2012

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Directions to “ MS. JOY L RODGERS PA-C” Practice Location

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