Individual
MARY JO KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
504 REDMOND RD NW, ROME, GA 30165-1416
(706) 235-3855
(706) 290-2721
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN218765
GA
Other
Enumeration date
06/28/2006
Last updated
06/13/2016
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