Rollock, Michael
Rollock, Michael is an individual health care provider with primary practice located at 997 Saint Sebastian Way , Augusta GA 30912-2613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Rollock, Michael can be contacted via phone (706) 721-6719.Contact Information
Primary practice address
997 Saint Sebastian Way
Augusta GA 30912-2613
Phone: (706) 721-6719
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | PSY003572 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY003572 | Georgia |
Profile Details
| NPI number | 1629303870 |
|---|---|
| LBN Legal business name | Rollock, Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2009 |
| Last updated | Apr 12th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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