Rollins, Susan Davidson

Rollins, Susan Davidson is an individual health care provider with primary practice located at 2400 Susannah St Ste A , Johnson City TN 37601-1730. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Cytopathology is her primary health care specialty. Rollins, Susan Davidson can be contacted via phone (423) 283-4734.

Contact Information

Primary practice address
2400 Susannah St Ste A Johnson City TN 37601-1730
Phone: (423) 283-4734
Fax: (423) 283-4736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD0000020455 Tennessee
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X MD0000020455 Tennessee

Profile Details

NPI number 1578546370
LBN Legal business name Rollins, Susan Davidson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Oct 28th, 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 1578546370 NPPES
Tennessee MEDICAID 3058551

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