Search › Georgia › 208000000X
Jack Rogers, M.D
NPI 1679571988 · on the registry since 2005
Practice
- Address
- 114 Plantation Ave
Cedartown, GA 30125 - Phone
- (678) 901-0717
- Fax
- (678) 901-0718
- Organisation at this address
- Cedar Creek Pediatrics
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia