| Mr Kenneth B Roland Jr, PA-C | |
|
300 W. Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-2720 | |
| (706) 787-4697 | |
| (706) 787-6735 |
| Full Name | Mr Kenneth B Roland Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 300 W. Hospital Road, Fort Gordon, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699828152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 688 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth B Roland Jr, PA-C 300 W. Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-2720 Ph: (706) 787-4697 | Mr Kenneth B Roland Jr, PA-C 300 W. Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-2720 Ph: (706) 787-4697 |
Mr. Gordon Andrew Marshall, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 West Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905 Phone: 706-787-2720 Fax: 706-787-8176 | |
Mr. Nathan David Tavolieri, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Building 329, Fort Gordon, GA 30905 Phone: 706-787-3805 | |
Mrs. Sunny Maria Holden, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 E Hospital Road, Building T-300, Eisenhower Army Med Center Orthopedic Surgery Dept, Fort Gordon, GA 30905 Phone: 706-787-6157 Fax: 706-787-2901 | |
Ms. Maria Teresa Richard, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-727-2720 Fax: 706-787-8176 | |
Mr. William James Nieding, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 East H, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30905 Phone: 706-787-2862 | |
Ms. Kim Nmn Walker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-8020 | |
Mr. George Timothy Cassidy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Attn Credentials, Fort Gordon, GA 30905 Phone: 706-787-2720 Fax: 706-787-8176 |