Individual
ROGENA D CORDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
304 SHORTER AVE NW STE 105, ROME, GA 30165-4256
(706) 291-4880
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
043585
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000757072E
—
GA
Enumeration date
06/08/2006
Last updated
11/17/2022
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