Rollins Iii Md, Luther C

Rollins Iii Md, Luther C is an individual health care provider with primary practice located at 1140 Hammond Drive, Ne Bldg D-4190, Atlanta GA 30328. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Rollins Iii Md, Luther C can be contacted via phone (404) 351-1745.

Contact Information

Primary practice address
1140 Hammond Drive, Ne Bldg D-4190 Atlanta GA 30328
Fax: (404) 351-7121
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 023101 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 023101 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 023101 Georgia

Profile Details

NPI number 1043228364
LBN Legal business name Rollins Iii Md, Luther C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Sep 28th, 2011 - about 13 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 1043228364 NPPES
Georgia Other 023101 LICENSE
Georgia Other LICENSE LICENSE
Georgia MEDICAID 000281652A LICENSE

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