Healthcare Provider Details

I. General information

NPI: 1366575987
Provider Name (Legal Business Name): DR. ERIN KATHLEEN ROGERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14120 STATESVILLE RD
HUNTERSVILLE NC
28078-8933
US

IV. Provider business mailing address

7815 GARNKIRK DR
HUNTERSVILLE NC
28078-2203
US

V. Phone/Fax

Practice location:
  • Phone: 704-875-1606
  • Fax:
Mailing address:
  • Phone: 704-875-0141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14528
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: