| Doctor Name: | MRS. PHYLLIS H. ROLAND |
| NPI Number: | 1295825248 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN046458 |
| Business Practice Address: | 6420 Pollards Pond Rd Appling, GA - 308023726 |
| Business Phone Number: | 7064477679 |
| Business Fax Number: | 7068683336 |
| Mailing Address: | 305 Cedar Rock Mdws, MARTINEZ |
| State: | GA |
| Postal Code: | 309072701 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN046458 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | GA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |