Provider Demographics
NPI:1871611293
Name:ROGERS, ERICA STICH (MD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:STICH
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 COLLOREDO BLVD
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160-2774
Mailing Address - Country:US
Mailing Address - Phone:931-685-8111
Mailing Address - Fax:931-685-8007
Practice Address - Street 1:1612 N MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-2391
Practice Address - Country:US
Practice Address - Phone:931-685-2022
Practice Address - Fax:931-492-4355
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46009208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics