| Jack A Rogers Jr, MD | |
|
114 Plantation Ave, Cedartown, GA 30125-2370 | |
| (678) 901-0717 | |
| (678) 901-0718 |
| Full Name | Jack A Rogers Jr |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 114 Plantation Ave, Cedartown, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679571988 | NPI | - | NPPES |
| 625778716B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | GA 017875 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack A Rogers Jr, MD 114 Plantation Ave, Cedartown, GA 30125-2370 Ph: (678) 901-0717 | Jack A Rogers Jr, MD 114 Plantation Ave, Cedartown, GA 30125-2370 Ph: (678) 901-0717 |
Tammy Anita Lyles-arnold, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2370 Rockmart Hwy Ste 100, Cedartown, GA 30125 Phone: 770-748-7818 | |
Sara Brabson Rogers, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 114 Plantation Ave, Cedartown, GA 30125 Phone: 678-901-0717 |