Provider Demographics
NPI:1366303042
Name:ROGERS, CHRISTIE ROZONDA
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:ROZONDA
Last Name:ROGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 LEVEL CREEK RD APT 410
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-7830
Mailing Address - Country:US
Mailing Address - Phone:470-436-2062
Mailing Address - Fax:470-436-2062
Practice Address - Street 1:1022 LEVEL CREEK RD APT 410
Practice Address - Street 2:
Practice Address - City:SUGAR HILL
Practice Address - State:GA
Practice Address - Zip Code:30518-7830
Practice Address - Country:US
Practice Address - Phone:470-436-2062
Practice Address - Fax:470-436-2062
Is Sole Proprietor?:No
Enumeration Date:2025-11-21
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor