Individual
CHRISTOPHER TYLER ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1120 15TH ST # GC5110, AUGUSTA, GA 30912-0004
(706) 721-2371
Mailing address
2678 YORK DR, AUGUSTA, GA 30909-6070
(770) 280-5697
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN122878
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DN122878
GA
Other
Enumeration date
02/15/2022
Last updated
09/09/2022
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