Provider Demographics
NPI:1487600862
Name:ROOKER, SARA L (MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:L
Last Name:ROOKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10208 CERNY ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-7884
Mailing Address - Country:US
Mailing Address - Phone:919-350-7993
Mailing Address - Fax:919-350-0944
Practice Address - Street 1:10208 CERNY ST
Practice Address - Street 2:SUITE 206
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-7884
Practice Address - Country:US
Practice Address - Phone:919-350-7993
Practice Address - Fax:919-350-0944
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2001-00084207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0778WOtherBCBS
NC2007858BMedicare ID - Type Unspecified
NC0778WOtherBCBS