Mark M Roland


Address: 21 Trammell Swst, Marietta, GA 30064-3249

Mark M Roland (NPI# 1104960715, PAC ID# 6507824166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1104960715
PAC ID by PECOS 6507824166
Professional Enrollment ID I20050103000267
Full Name Mark M Roland
Address 21 Trammell Swst
Marietta
GA 30064-3249
Gender M
Credential CP
Graduation Year 1994
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
21 Trammell Swst, Marietta, GA 30064-3249

Organization Information

Office Location

Street Address 21 TRAMMELL SWST
City MARIETTA
State GA
Zip 30064-3249

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Competitor

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City MARIETTA
Zip Code 30064
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty MARIETTA + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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