Individual
MR. KENNETH CARSON ROLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1185 ATHENS RD, SUITE 2, CRAWFORD, GA 30630
(706) 743-8122
(706) 743-3398
Mailing address
1185 ATHENS RD, SUITE 2, CRAWFORD, GA 30630
(706) 743-5466
(706) 743-3398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHRE005399
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030115A
—
GA
Enumeration date
05/10/2007
Last updated
07/08/2007
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