Healthcare Provider Details
I. General information
NPI: 1457408346
Provider Name (Legal Business Name): KAREN SUE ROGERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/04/2007
Last Update Date: 08/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1901 TATE SPRINGS RD
LYNCHBURG VA
24501
US
IV. Provider business mailing address
975 E 3RD ST
CHATTANOOGA TN
37403-2147
US
V. Phone/Fax
- Phone: 434-200-3027
- Fax:
- Phone: 423-778-7000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 0101247527 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 44626 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: