Individual
COLLEEN KATHRYN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1609 VINEYARD MIST DR, CARY, NC 27519-6998
(919) 475-4613
Mailing address
1609 VINEYARD MIST DR, CARY, NC 27519-6998
(919) 475-4613
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2601001916
MI
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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