Individual
ROLANDO TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W HOSPITAL RD, DEPARTMENT OF EMERGENCY MEDICINE, FORT GORDON, GA 30905-5741
(706) 787-2264
Mailing address
6691 JANES RD, APPLING, GA 30802-2312
(706) 833-9369
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43138
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000897465A
—
GA
01
—
001624
BLUE CROSS
GA
01
—
G43138
SOUTH CAROLINA MEDICAID
SC
Enumeration date
06/30/2006
Last updated
10/03/2013
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