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1619700481
PHILLIP ERIC RODGERS
KOSCIUSKO, MS
NPI
1619700481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 906890)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
PHILLIP ERIC RODGERS FNP-C
332 HIGHWAY 12 W
KOSCIUSKO, MS 39090-3209
Phone number: 662-289-1800
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Mailing Address
PHILLIP ERIC RODGERS FNP-C
13418 ATTALA ROAD 4101
SALLIS, MS 39160-5242
Phone number: 601-613-7835
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