Provider Demographics
NPI:1942860846
Name:ROGNER, GERALDINE
Entity Type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:
Last Name:ROGNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1318
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901-4318
Mailing Address - Country:US
Mailing Address - Phone:404-316-4000
Mailing Address - Fax:
Practice Address - Street 1:149 COURT ST S
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901-2043
Practice Address - Country:US
Practice Address - Phone:404-316-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker