Individual
MR. CHADWICK GORDON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211-2117
(704) 332-1291
Mailing address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211-2117
(980) 208-1704
(704) 926-1832
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
50.006657
OH
363A00000X
Physician Assistant
Primary
0010-10725
NC
Other
Enumeration date
09/22/2020
Last updated
04/01/2021
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