Individual
CLAYTON ROELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, NP
Contact information
Practice address
1800 PEACHTREE ST NW UNIT 855, ATLANTA, GA 30309-2519
(470) 226-2390
Mailing address
717 ST JAMES PL, CANTON, GA 30115-1911
(470) 455-5117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F01220243
GA
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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