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Individual

JASON L ROLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
817 PRINCETON AVE SW, STE 115, BIRMINGHAM, AL 35211
(205) 780-1963
(205) 780-2345
Mailing address
817 PRINCETON AVE SW, STE 115, BIRMINGHAM, AL 35211
(205) 780-1963
(205) 780-2345

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25072
AL
207RP1001X
Pulmonary Disease Physician
Primary
25072
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51542067
BLUE CROSS
AL
01
Z08561
VIVA HEALTH
AL
Enumeration date
08/22/2006
Last updated
11/21/2007
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