Rogers, William Evan

Rogers, William Evan is an individual health care provider with primary practice located at 705 Dixie Street Ste 401, Carrollton GA 30117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Rogers, William Evan can be contacted via phone (770) 836-9326.

Contact Information

Primary practice address
705 Dixie Street Ste 401 Carrollton GA 30117
Fax: (770) 836-9358
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 022041 Georgia

Profile Details

NPI number 1629058573
LBN Legal business name Rogers, William Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Aug 4th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629058573 NPPES
Georgia MEDICAID 0024769584
Georgia MEDICAID 009402230

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