Warlito G Rollolazo

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17551 Issued in GA

Legal business name

WARLITO G ROLLOLAZO

Practice address

809 W Bankhead Hwy
Suite D
Villa Rica, GA 30180-1520

Phone

(770) 456-9993

Fax

(770) 456-9949

NPI assigned

Mar 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Warlito G Rollolazo, MD

Title

Owner

Phone

(770) 456-9993

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Center for General Medicine Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1851419410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W BANKHEAD HWY",
            "address_2": "SUITE D",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801520",
            "telephone_number": "770-456-9993",
            "fax_number": "770-456-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W BANKHEAD HWY",
            "address_2": "SUITE D",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801520",
            "telephone_number": "770-456-9993",
            "fax_number": "770-456-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARLITO G ROLLOLAZO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "ROLLOLAZO",
        "authorized_official_first_name": "WARLITO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-456-9993",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "17551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143087983A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000114133G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for General Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Walgreen Co (Rite Aid #11756)
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• Kyle Walker, PT
• Rachel D. Wall, PHARM.D.
• Tabitha Wanjiku, NP
• Randy T Warner, M.D.
• Ashaki Eva Warren, M.D.
• Julie G Warren, FNP
• Charis Re'Nee Warwick-Davis, THERAPIST
• Kari Watts

• General Practice Physician in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.