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Individual

ROGER ALAN HISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
150 GENTILLY BLVD, CARTERSVILLE, GA 30120-8522
(470) 490-6030
(470) 490-6029
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48899
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
48899
GA

Other

Enumeration date
06/23/2005
Last updated
05/08/2020
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