Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 82067 | GA |
NPI | 1003249194 |
---|---|
Provider Name | Dr. Noelle Alicia Rolle |
First Address | Albany, GA 31701-1943 |
Second Address | Albany, GA 31701-1943 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2013 |
Last Update Date | 05/02/2021 |