Individual
MELISSA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
(919) 232-5021
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00739
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-00739
NC
Other
Enumeration date
11/18/2005
Last updated
04/08/2021
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