| Marian Rogers, CRNA | |
|
4575 North Shallowford Road, Dunwoody, GA 30338 | |
| (770) 454-4286 | |
| (770) 454-4065 |
| Full Name | Marian Rogers |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4575 North Shallowford Road, Dunwoody, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972558914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN064035 (Georgia) | Primary |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Marian Rogers, CRNA Po Box 70128, Marietta, GA 30007-0128 Ph: (770) 578-1800 | Marian Rogers, CRNA 4575 North Shallowford Road, Dunwoody, GA 30338 Ph: (770) 454-4286 |
John G Anderson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4575 N Shallowford Rd, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Nita M Fitzgerald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Vincent F Polvinale, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Lydia Mallari, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Rd, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Martha Adams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Margaret Olsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Lynnette Virginia Saefke-wolc, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4827 Manget Ct, Dunwoody, GA 30338 Phone: 770-396-4704 Fax: 770-396-1576 |