Individual
JENSEN ROGER GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
202501571
NC
208M00000X
Hospitalist Physician
Primary
202501571
NC
Other
Enumeration date
04/05/2022
Last updated
06/28/2025
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