Individual
JEFFREY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-6637
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-6637
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
200501493
NC
208600000X
Surgery Physician
Primary
200501493
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10208343
—
VA
01
—
1402J
BCBS
—
01
—
184303
MEDCOST
—
05
—
3810003469
—
WV
05
—
5902246
—
NC
01
—
7056011
AETNA
—
01
—
806732
PARTNERS
—
01
—
P00300023
RR MEDICARE
—
05
—
T53331
—
SC
Enumeration date
12/13/2005
Last updated
10/02/2019
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