Provider Demographics
NPI:1073619078
Name:ROGERS, CHARLES MA IV (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:MA
Last Name:ROGERS
Suffix:IV
Gender:M
Credentials:MD
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Mailing Address - Street 1:3 MOBILE INFIRMARY CIR
Mailing Address - Street 2:SUITE 401
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-3520
Mailing Address - Country:US
Mailing Address - Phone:251-435-7800
Mailing Address - Fax:251-435-7801
Practice Address - Street 1:3 MOBILE INFIRMARY CIR
Practice Address - Street 2:SUITE 401
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3520
Practice Address - Country:US
Practice Address - Phone:251-435-7800
Practice Address - Fax:251-435-7801
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2015-04-14
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Provider Licenses
StateLicense IDTaxonomies
AL19672207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000077651Medicaid
AL000077651Medicare ID - Type Unspecified
AL000077651Medicaid