Search › Mississippi › 363LA2100X
Roger Decker, AGACNP-BC
NPI 1689154478 · on the registry since 2018
Practice
- Address
- 55 Physicians Ln
Southaven, MS 38671 - Phone
- (662) 655-2136
- Organisation at this address
- The Neurosurgical Center
Modern Vascular Of Southaven, Llc
Anesthesia Services Associates, Pllc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LA2100X
- Licence states on file
- TN, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi