Individual
ROGER GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1240 EAGLES LANDING PKWY STE 300, STOCKBRIDGE, GA 30281-5173
(770) 506-4350
Mailing address
900 CIRCLE 75 PKWY SE STE 1700, ATLANTA, GA 30339-3087
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT002982
GA
363A00000X
Physician Assistant
Primary
9791
GA
Other
Enumeration date
03/30/2017
Last updated
06/14/2020
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