Individual
JORDAN WESLEY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
275 COLLIER RD NW STE 300, ATLANTA, GA 30309-1740
(404) 350-0009
Mailing address
3286 EAGLE WATCH DR, WOODSTOCK, GA 30189-6854
(770) 789-8742
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
08/07/2024
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