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MRS. PHYLLIS H. ROLAND RN
Community Health >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1295825248
Individual Registrant:MRS. PHYLLIS H. ROLAND RN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
6420 POLLARDS POND RD APPLING, GA 30802-3726 US
Tel: 706-447-7679 Fax: 706-868-3336
Tel: 706-447-7679 Fax: 706-868-3336
Contact information for business:
305 CEDAR ROCK MDWS MARTINEZ, GA 30907-2701 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1295825248
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 163WC1500X | Nursing Service Providers Registered Nurse Community Health | GA | RN046458 |
| X | 163WG0000X | Nursing Service Providers Registered Nurse | CA | 568492 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
