Individual
MR. JOHN KITCHENER ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
110 GEORGETOWN CT, MACON, GA 31210-3076
(478) 471-6672
Mailing address
110 GEORGETOWN CT, MACON, GA 31210-3076
(478) 471-6672
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN095473 CRNA
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005470Z7D
—
GA
Enumeration date
05/30/2005
Last updated
06/19/2012
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