Roger Douglas Tollison, ATC
NPI #1790290211 in Cleveland, Mississippi
Provider Information
- NPI Number
- 1790290211
- Entity Type
- Individual
- Name
- Roger Douglas Tollison, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Dec 6, 2017
- Last Updated
- Dec 6, 2017
Practice Location
- Address
- 1417 MAPLE ST
- City
- Cleveland
- State
- Mississippi
- ZIP Code
- 38732-2415
- Phone
- (662) 846-4280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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