Individual
ROGER F. NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 FLUKER ST, THOMSON, GA 30824-2108
(706) 595-1090
(706) 595-6010
Mailing address
315 FLUKER ST, THOMSON, GA 30824-2108
(706) 595-1090
(706) 595-6010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
072308
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930081378
RAILROAD
—
Enumeration date
02/15/2006
Last updated
03/09/2015
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