Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 0010-11313 | NC |
NPI | 1134796238 |
---|---|
Provider Name | Caitlin Jernigan Rodgers |
First Address | Durham, NC 27705-3020 |
Second Address | Burlington, NC 27215-8700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2021 |
Last Update Date | 07/06/2021 |