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Individual

DR. JIM A ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 E MATTHEWS ST, SUITE 600, MATTHEWS, NC 28105-4866
(704) 321-1595
(704) 321-2634
Mailing address
101 E MATTHEWS ST, SUITE 600, MATTHEWS, NC 28105-4866
(704) 321-1595
(704) 321-2634

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0031064
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0340242
UNITED HEALTHCARE
NC
01
070004749
RAILROAD MEDICARE
NC
01
149709
TRIGON BCBS
NC
01
2194867
AETNA HMO
NC
01
238843
ANTHEM BLUE CROSS
NC
01
4216340
AETNA REGULAR
NC
01
72932
BCBS OF NC
NC
01
8972932
MEDICAID
NC
Enumeration date
02/02/2006
Last updated
02/19/2013
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