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Individual

DR. THOMAS F ROLLAR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
630 SINGLETON RIDGE RD, CONWAY, SC 29526
(843) 347-2900
(843) 347-2906
Mailing address
630 SINGLETON RIDGE RD, CONWAY, SC 29526
(843) 347-2900
(843) 347-2906

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
3347
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3347
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8990018
NC
05
ZA9692
SC
Enumeration date
12/13/2006
Last updated
04/16/2025
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