| Hudson C Rogers, MD | |
|
9295 Medical Plaza Dr, Suite B, Charleston, SC 29406-9137 | |
| (843) 797-3960 | |
| (843) 553-4216 |
| Full Name | Hudson C Rogers |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 9295 Medical Plaza Dr, Charleston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003893868 | NPI | - | NPPES |
| 107734 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 10773 (South Carolina) | Primary |
| Entity Name | Trident Dermatology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366404659 PECOS PAC ID: 5092774034 Enrollment ID: O20101116000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson C Rogers, MD 9295 Medical Plaza Dr, Suite B, Charleston, SC 29406-9137 Ph: (843) 797-3960 | Hudson C Rogers, MD 9295 Medical Plaza Dr, Suite B, Charleston, SC 29406-9137 Ph: (843) 797-3960 |
Cynthia Irby Wilson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8 Farmfield Ave Ste D, Charleston, SC 29407 Phone: 843-469-5641 | |
Dr. John C Maize Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9295 Medical Plaza Dr, Suite A, Charleston, SC 29406 Phone: 843-797-3960 Fax: 843-553-4216 | |
Benjamin Sue-ming Kuo, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Pearon G Lang Jr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. John Plante, MD, MSCR Dermatology Medicare: Not Enrolled in Medicare Practice Location: 268 Calhoun St, Charleston, SC 29425 Phone: 843-792-5252 | |
Catherine Reeves Griffin, NP Dermatology Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |