Individual
LUTHER C ROLLINS III MD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140 HAMMOND DRIVE, NE, BLDG D-4190, ATLANTA, GA 30328
(404) 351-1745
(404) 351-7121
Mailing address
1140 HAMMOND DRIVE, NE, BLDG D-4190, ATLANTA, GA 30328
(770) 558-8501
(770) 558-8512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
023101
GA
207L00000X
Anesthesiology Physician
023101
GA
208VP0000X
Pain Medicine Physician
Primary
023101
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000281652A
—
GA
01
—
023101
LICENSE
GA
01
—
LICENSE
023101
GA
Enumeration date
08/03/2006
Last updated
09/28/2011
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