Provider Demographics
NPI:1366952707
Name:ROGERS, CHELSIE (PA-C)
Entity type:Individual
Prefix:
First Name:CHELSIE
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 E PACES FERRY RD NE STE 825
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-3292
Mailing Address - Country:US
Mailing Address - Phone:404-314-4545
Mailing Address - Fax:
Practice Address - Street 1:371 E PACES FERRY RD NE STE 825
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-3292
Practice Address - Country:US
Practice Address - Phone:404-252-4110
Practice Address - Fax:404-252-2188
Is Sole Proprietor?:No
Enumeration Date:2017-10-11
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA78424207P00000X
GA26888207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine