Individual
MR. SAMUEL THOMAS ROLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNMT
Contact information
Practice address
795 N BELAIR RD, EVANS, GA 30809-4258
(912) 604-3889
Mailing address
PO BOX 514, EVANS, GA 30809-0514
(912) 604-3889
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
022395
GA
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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