Individual
MARISA A ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5246 CHAMBERLAYNE RD, RICHMOND, VA 23227-2950
(804) 913-7029
Mailing address
PO BOX 746722, ATLANTA, GA 30374-6722
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101273755
VA
207R00000X
Internal Medicine Physician
88073
GA
207R00000X
Internal Medicine Physician
MD.42370
AL
207R00000X
Internal Medicine Physician
MD17508
RI
207R00000X
Internal Medicine Physician
MD421609
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001950104
—
PA
05
—
0019501040001
—
PA
Enumeration date
07/07/2006
Last updated
06/11/2025
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