Provider Demographics
NPI:1568346096
Name:ROGERS, PAMELA LASHIA
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LASHIA
Last Name:ROGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:AL
Mailing Address - Zip Code:36401-2506
Mailing Address - Country:US
Mailing Address - Phone:251-227-2445
Mailing Address - Fax:
Practice Address - Street 1:201 COURT ST
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:AL
Practice Address - Zip Code:36401-2847
Practice Address - Country:US
Practice Address - Phone:251-227-2445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care