Provider Demographics
NPI:1578543427
Name:ROGERS, RHONDA B (MD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:B
Last Name:ROGERS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:157 CLINIC AVE
Mailing Address - Street 2:STE 301
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-4454
Mailing Address - Country:US
Mailing Address - Phone:770-838-9333
Mailing Address - Fax:770-838-7755
Practice Address - Street 1:157 CLINIC AVE
Practice Address - Street 2:STE 301
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-4454
Practice Address - Country:US
Practice Address - Phone:770-838-9333
Practice Address - Fax:770-838-7755
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2008-11-13
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Provider Licenses
StateLicense IDTaxonomies
GA022040207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D40993Medicare UPIN