Individual
MICHAEL WAYNE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
229161
NC
367500000X
Certified Registered Nurse Anesthetist
006035
NC
367500000X
Certified Registered Nurse Anesthetist
220638
OK
367500000X
Certified Registered Nurse Anesthetist
29606A
SC
Other
Enumeration date
08/09/2018
Last updated
11/07/2024
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