SearchGeorgia103T00000X

Kristiansson Roth, PH.D

NPI 1205050283 · on the registry since 2007 · sole proprietor

Practice

Address
304 E 14th Ave
Cordele, GA 31015
Phone
(229) 273-7392
Fax
(229) 273-7391

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia