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Individual

DR. WILLIAM EVAN ROGERS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
705 DIXIE STREET, STE 401, CARROLLTON, GA 30117
(770) 836-9326
(770) 836-9358
Mailing address
119 AMBULANCE DR 202, CARROLLTON, GA 30117-3857
(770) 838-8710
(770) 838-8563

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
022041
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0024769584
GA
05
009402230
AL
Enumeration date
01/18/2006
Last updated
08/04/2015
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