Individual
KRISTEN H. ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7448 BROAD RIVER ROAD, IRMO, SC 29063-0027
(803) 732-0140
(803) 462-0312
Mailing address
601 CLEMSON RD, COLUMBIA, SC 29229-4341
(803) 788-6146
(803) 462-0312
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29909
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299091
—
SC
01
—
AA55852389
MEDICARE PTAN
SC
Enumeration date
07/19/2007
Last updated
07/12/2019
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