Individual
DR. ROGER LEE ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 KITCHINGS DR STE C, STATESVILLE, NC 28677-3576
(704) 873-2516
Mailing address
555 KITCHINGS DR STE C, STATESVILLE, NC 28677-3576
(704) 873-2516
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20190
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71981
BCBS
NC
05
—
79 71981
—
NC
Enumeration date
06/13/2006
Last updated
07/02/2010
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