Individual
MRS. ANGELA L ROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3237 BRIARWICK DR, NASHVILLE, TN 37218
(616) 506-0204
Mailing address
3237 BRIARWICK DR, NASHVILLE, TN 37218-3101
(615) 506-0204
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
065217180
TN
172A00000X
Driver
073312248
TN
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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