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NPI Code Detail

MEDICARE: MELISSA ROGERS PA-C

MEDICARE: MELISSA ROGERS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant0010-00739NC
2363A00000XPhysician Assistant0010-00739NC

General Provider Information

NPI Number : 1194707638
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ROGERS PA-C
Provider Business Mailing Address
First Line : 2920 HIGHWOODS BLVD
Second Line :
City : RALEIGH
State : NC
Zip : 27604-0010
Country : US
Telephone Number : 877-498-4490
Fax Number :
Provider Business Practice Location Address
First Line : 3009 NEW BERN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-1214
Country : US
Telephone Number : 919-232-5020
Fax Number : 919-232-5021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 04/08/2021

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Directions to “ MELISSA ROGERS PA-C” Practice Location

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