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Search › Georgia › 363A00000X

Kenneth Roland, PA-C

NPI 1699828152 · on the registry since 2007 · sole proprietor

Practice

Address
300 W. Hospital Road
Eisenhower Army Medical Center
Fort Gordon, GA 30905
Phone
(706) 787-4697
Fax
(706) 787-6735
Organisation at this address
Ddeamc
Amc Eisenhower
United States Army
United States Army
United States Army
Inferred from a shared address, not stated in the registry.
Clinicians at this address
273

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-10-03

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