Cordle, Rogena D
Cordle, Rogena D is an individual health care provider with primary practice located at 304 Shorter Ave Nw Ste 105 , Rome GA 30165-4256. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cordle, Rogena D can be contacted via phone (706) 291-4880.Contact Information
Primary practice address
304 Shorter Ave Nw Ste 105
Rome GA 30165-4256
Phone: (706) 291-4880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 043585 | Georgia |
Profile Details
| NPI number | 1679513360 |
|---|---|
| LBN Legal business name | Cordle, Rogena D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Nov 17th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679513360 | NPPES |
| Georgia | MEDICAID | 000757072E |
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