# ROGER W HUELSNITZ MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073768388
- **Authorized official:** MRS. CARLEEN C WILSON (OFFICE MANAGER)
- **Authorized official phone:** (912) 487-1737

## Contact information

- **Practice address:** 80 HUXFORD ST, HOMERVILLE, GA 31634-2356
- **Practice address phone:** (912) 487-1737
- **Practice address fax:** (912) 487-1739
- **Mailing address:** 80 HUXFORD ST, HOMERVILLE, GA 31634-2356
- **Mailing address phone:** (912) 487-1737
- **Mailing address fax:** (912) 487-1739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 030103 | GA | Yes |

## Other

- **Enumeration date:** 12/01/2008
- **Last updated:** 12/01/2008