Individual
DR. PHILLIP RAYMOND ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1776 OLD SPRING HOUSE LN, SUITE 200, ATLANTA, GA 30338-6225
(770) 454-0091
(770) 454-0095
Mailing address
1776 OLD SPRING HOUSE LN, SUITE 200, ATLANTA, GA 30338-6225
(770) 454-0091
(770) 454-0095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21197
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129768A
—
GA
05
—
003129768B
—
GA
05
—
003129768C
—
GA
Enumeration date
07/25/2006
Last updated
08/25/2014
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