Individual
RHETT L ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 REDMOND RD NW, ANESTHESIOLOGY DEPARTMENT, ROME, GA 30165-1415
(706) 291-0291
Mailing address
481 LOVELL RD SE, ROME, GA 30161-3683
(706) 232-3157
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
089817
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000691435H
—
GA
05
—
000691435I
—
GA
Enumeration date
05/31/2006
Last updated
12/03/2008
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