Individual
BRANDIE ROLADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1414 DUG GAP RD, DALTON, GA 30720-5007
(706) 279-0405
Mailing address
1015 LAUREL LAKE DR, BALL GROUND, GA 30107-2657
(770) 653-8802
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
077919
GA
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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