Individual
ROGER CHARLES ERNEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
709 WICKER ST STE B, SANFORD, NC 27330-4168
(919) 332-1919
Mailing address
709 WICKER ST STE B, SANFORD, NC 27330-4168
(919) 775-3321
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2007-01278
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1453H
BCBS
NC
05
—
5907494
—
NC
01
—
P00676235
RAILROAD MEDICARE
NC
Enumeration date
07/26/2007
Last updated
04/14/2021
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