Individual
DR. THOMAS ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 E CENTER ST, KINGSPORT, TN 37664-2444
(423) 245-2078
(423) 245-2078
Mailing address
1325 E CENTER ST, KINGSPORT, TN 37664-2444
(423) 245-2078
(423) 245-2078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 17577
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3026843
—
TN
05
—
5637180
—
VA
Enumeration date
05/24/2005
Last updated
02/20/2017
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