Gary L Rogers (NPI# 1922172683, PAC ID# 4183722184) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1922172683 |
| PAC ID by PECOS | 4183722184 |
| Professional Enrollment ID | I20080225000005 |
| Full Name | Gary L Rogers |
| Address |
34 E Oak St Box 1659 East Ellijay GA 30539 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 34 E Oak St, Box 1659, East Ellijay, GA 30539 |
| Street Address |
34 E OAK ST BOX 1659 |
| City | EAST ELLIJAY |
| State | GA |
| Zip | 30539 |
| City | EAST ELLIJAY |
| Zip Code | 30539 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | EAST ELLIJAY + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Gary L Rogers.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.