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General NPI Number Information
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NPI Number | 1043408578
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Entity Type | Individual
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Provider Name | MAILIEN REED ROGERS D.O.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 500 MCFARLAND ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-3992
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Country | US
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Telephone | 423-621-6250
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Fax |
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Provider Business Mailing Address
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Address Line | 111H BUILDING 8 DOGWOOD AVENUE PO BOX 4000 JAMES H QUILLEN VA MEDICAL CENTER
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City | MOUNTAIN HOME
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State | TN
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Zip | 37684
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Country | US
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Telephone | 423-926-1171
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Fax | 423-979-3609
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 2083
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License Number State | TN
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