Individual
ANDREW THOMAS ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
401 E WATAUGA AVE, JOHNSON CITY, TN 37601-4036
(423) 328-3386
Mailing address
401 E WATAUGA AVE, JOHNSON CITY, TN 37601-4036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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