IndividualActive
Amanda Rogers
NPI 1639906910 · Contractor · Perry, GA
Provider details
- NPI number
- 1639906910
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
111 Grayton Way
Perry, GA 31069-4848
Registry dates
- Enumerated
- 2024-09-19
- Last updated
- 2024-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.