Healthcare Provider Details

I. General information

NPI: 1427695428
Provider Name (Legal Business Name): MARGARET DONLON ROGERS MPAP, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2019
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4414 LAKE BOONE TRL STE 300
RALEIGH NC
27607-7514
US

IV. Provider business mailing address

4414 LAKE BOONE TRL STE 300
RALEIGH NC
27607-7514
US

V. Phone/Fax

Practice location:
  • Phone: 919-781-5510
  • Fax:
Mailing address:
  • Phone: 919-781-5510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-09335
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: