MEDICARE: ANGELA ROGERS

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
1	103K00000X	Behavior Analyst	1-19-34477	NC

General Provider Information

NPI Number	:	1205141108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA ROGERS

Provider Business Mailing Address
First Line	:	325 SOUND RD
Second Line	:
City	:	HOLLY RIDGE
State	:	NC
Zip	:	28445-7813
Country	:	US
Telephone Number	:	910-803-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 SOUND RD
Second Line	:
City	:	HOLLY RIDGE
State	:	NC
Zip	:	28445-7813
Country	:	US
Telephone Number	:	910-803-2400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2010
Last Update Date	:	04/01/2019

Similar Medicare Providers

1982562922 — TYLER SULLIVAN SLP
Practice Location Address:

325 SOUND RD STE 200
HOLLY RIDGE, NC
28445-7813

Practice Phone: 910-541-3636
Practice Fax:

1467732586 — PINEWOOD HARBOR, LLC
Practice Location Address:

325 SOUND RD
HOLLY RIDGE, NC
28445-7813

Practice Phone: 910-329-9942
Practice Fax: 910-329-9943

1407299753 — DR. ASHLEY MARIE MOREIRA D.C.
Practice Location Address:

325 SOUND RD STE 204
HOLLY RIDGE, NC
28445-7813

Practice Phone: 910-333-6599
Practice Fax:

1568041580 — PRESLIE NIXON
Practice Location Address:

325 SOUND RD
HOLLY RIDGE, NC
28445-7813

Practice Phone: 910-803-2400
Practice Fax:

1417620246 — DR. PAIGE LEONARD DC
Practice Location Address:

325 SOUND RD STE 205
HOLLY RIDGE, NC
28445-7813

Practice Phone: 910-803-1844
Practice Fax:

1598422909 — COASTAL CAROLINA CPR LLC.
Practice Location Address:

325 SOUND RD
HOLLY RIDGE, NC
28445-7813

Practice Phone: 910-399-3744
Practice Fax:

Directions to “ ANGELA ROGERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.