Individual
RILEY C ROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
724 AUBREY BELL DR, MATTHEWS, NC 28105-5055
(704) 295-3550
(704) 295-3556
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 838-8494
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2003231
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
04/11/2019
Last updated
04/29/2021
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