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NPI Code Detail

MEDICARE: DR. DIANNE C ROLAND MD

MEDICARE: DR. DIANNE C ROLAND MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician33939TN
2207RE0101XEndocrinology, Diabetes & Metabolism Physician058634GA

General Provider Information

NPI Number : 1740279462
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANNE C ROLAND MD
Provider Business Mailing Address
First Line : 725 GLENWOOD DR
Second Line : STE E688
City : CHATTANOOGA
State : TN
Zip : 37404-1192
Country : US
Telephone Number : 423-648-1148
Fax Number : 423-643-2217
Provider Business Practice Location Address
First Line : 4700 BATTLEFIELD PKWY
Second Line : SUITE 150
City : RINGGOLD
State : GA
Zip : 30736-5166
Country : US
Telephone Number : 706-861-2826
Fax Number : 706-861-2773
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 04/14/2017

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