Individual
MR. ANDRE CORNELIUS ROLLE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
772 MILLER RUN, ATLANTA, GA 30349-7915
(770) 843-3350
Mailing address
772 MILLER RUN, ATLANTA, GA 30349-7915
(770) 843-3350
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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