Basic Information
| Provider Information | |||||||||
| NPI: | 1487600862 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROOKER | ||||||||
| FirstName: | SARA | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10208 CERNY ST | ||||||||
| Address2: | SUITE 206 | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276177884 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9193507993 | ||||||||
| FaxNumber: | 9193500944 | ||||||||
| Practice Location | |||||||||
| Address1: | 10208 CERNY ST | ||||||||
| Address2: | SUITE 206 | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276177884 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9193507993 | ||||||||
| FaxNumber: | 9193500944 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2006 | ||||||||
| LastUpdateDate: | 02/21/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 2001-00084 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0778W | 01 | NC | BCBS | OTHER |