Sisk, Roger Harlon

Sisk, Roger Harlon is an individual health care provider with primary practice located at 3600 Dallas Hwy Sw Suite 290, Marietta GA 30064-1675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sisk, Roger Harlon can be contacted via phone (770) 514-8986.

Contact Information

Primary practice address
3600 Dallas Hwy Sw Suite 290 Marietta GA 30064-1675
Phone: (770) 514-8986
Fax: (770) 514-0387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 021812 Georgia

Profile Details

NPI number 1700834504
LBN Legal business name Sisk, Roger Harlon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700834504 NPPES
Georgia MEDICAID 00205213B

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