Jack A. Rogers in Cedartown - Pediatrics

Jack A. Rogers - NPI 1679571988

Jack A. Rogers is a Pediatrics in Cedartown, Georgia. Jack A. Rogers practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jack A. Rogers is 1679571988. The last update date is 2011-12-01.

Jack A. Rogers's current location address is 114 Plantation Ave, Cedartown, Georgia. You can contact this provider via phone number 6789010717 and fax number 6789010718. The mailing address for Jack A. Rogers is 114 Plantation Ave, Cedartown, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack A. Rogers
Address 114 Plantation Ave, Cedartown, Georgia
Phone Number 6789010717
Fax Number 6789010718
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1679571988
Provider Enumeration Date 2005-07-11
Last Updated Date 2011-12-01

Provider Mailing Address Detail

Address 114 Plantation Ave
City Cedartown
State Georgia (GA)
Post Code 301252370
Phone Number 6789010717
Fax Number 6789010718

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No GA 017875
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
625778716B GA --

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FAQs about Jack A. Rogers

What is the unique provider identifier assigned to Jack A. Rogers?

The Jack A. Rogers has been issued the NPI (National Provider Identifier) 1679571988 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Jack A. Rogers is physically located?

The Jack A. Rogers is situated at the following address: 114 Plantation Ave, Cedartown, GA 301252370.

What is the Jack A. Rogers's specialty and taxonomy code?

The Jack A. Rogers's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1679571988 to Jack A. Rogers?

The Centers for Medicare & Medicaid Services assigned the 1679571988 to Jack A. Rogers on 2005-07-11.

As of what date were the details related to Jack A. Rogers most recently updated or revised?

The information pertaining to Jack A. Rogers, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-01.

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