Individual
RAEGAN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
631 BESSEMER SUPER HWY, BIRMINGHAM, AL 35228
(205) 241-5222
Mailing address
2731 MARTIN LUTHER KING BLVD, TUSCALOOSA, AL 35401-5235
(205) 349-3250
(205) 752-1517
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-132052
AL
363LF0000X
Family Nurse Practitioner
F10170336
AL
Other
Enumeration date
05/03/2018
Last updated
08/02/2018
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