NPI | 1760425748 |
---|---|
Former Name | MELISSA A RODGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA0000001099) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 004869) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2015-07-10 |