Individual
MR. KENNETH B. ROLAND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 W. HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905-2720
(706) 787-4697
(706) 787-6735
Mailing address
300 W. HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905-2720
(706) 787-4697
(706) 787-6735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
688
SC
Other
Enumeration date
01/19/2007
Last updated
10/03/2013
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