Rolison, Cortie J

Rolison, Cortie J is an individual health care provider with primary practice located at 26 W Jackson Commons Dr , Hoschton GA 30548-1897. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Rolison, Cortie J can be contacted via phone (770) 848-9190.

Contact Information

Primary practice address
26 W Jackson Commons Dr Hoschton GA 30548-1897
Phone: (770) 848-9190
Fax: (706) 658-2462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LL1577 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 03799 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 71278 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 071278 Georgia

Profile Details

NPI number 1184986671
LBN Legal business name Rolison, Cortie J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Oct 15th, 2020 - about 5 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 1184986671 NPPES
South Carolina Other NPI # TRICARE
South Carolina Other NPI # TRICARE
South Carolina Other NPI # TRICARE
South Carolina Other NPI # TRICARE
South Carolina MEDICAID 015771 TRICARE

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