Individual
GUNNAR PRESTON ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 HEMLOCK STREET, MSC 69, MACON, GA 31201-2107
(478) 633-1721
Mailing address
777 HEMLOCK STREET, MSC 69, MACON, GA 31201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17388
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/31/2024
Last updated
07/02/2025
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