Individual
CHELSEA ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 POWDER HORN RD, SAINT MARYS, GA 31558-2640
(615) 870-7993
Mailing address
177 POWDER HORN RD, SAINT MARYS, GA 31558-2640
(615) 870-7993
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
2020-0144
—
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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