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Organization
WARLITO G ROLLOLAZO
Active
Organization
WARLITO G ROLLOLAZO
Active
Other names
Center for General Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
WARLITO G ROLLOLAZO MD (OWNER)
(770) 456-9993
Entity
Organization
Contact information
Practice address
809 W BANKHEAD HWY, SUITE D, VILLA RICA, GA 30180-1520
(770) 456-9993
(770) 456-9949
Mailing address
809 W BANKHEAD HWY, SUITE D, VILLA RICA, GA 30180-1520
(770) 456-9993
(770) 456-9949
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17551
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000114133G
—
GA
05
—
143087983A
—
GA
Enumeration date
03/26/2007
Last updated
06/13/2008
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