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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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