Individual
SUSAN ROLLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1362 S MAIN ST, ELLIJAY, GA 30540-5410
(706) 276-4808
Mailing address
582 CAHABA MANOR DR, PELHAM, AL 35124-1590
(205) 229-7875
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
GAA-NP001065
GA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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