Organization
ALABAMA GERIATRIC SPECIALISTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL D ROLLER M.D. (OWNER/PHYSICIAN)
(205) 916-0105
Entity
Organization
Contact information
Practice address
1 W LAKESHORE DR STE 100, BIRMINGHAM, AL 35209-7271
(205) 916-0105
Mailing address
PO BOX 130776, BIRMINGHAM, AL 35213-0776
(205) 916-0105
(205) 718-8934
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529912710
—
AL
01
—
DA7932
RAILROAD MEDICARE GROUP #
—
Enumeration date
07/23/2006
Last updated
09/08/2022
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