Individual
DR. ISAIAH JARELL ROLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., D.O.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-3440
(404) 727-8234
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-3440
(614) 556-5456
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
92659
GA
2084V0102X
Vascular Neurology Physician
92659
GA
2084V0102X
Vascular Neurology Physician
TPOS668
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0286503
—
OH
Enumeration date
03/21/2018
Last updated
12/04/2023
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