Provider Demographics
NPI:1386629079
Name:ROLLINS, EDWARD STERLING (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:STERLING
Last Name:ROLLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:167 ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-5334
Mailing Address - Country:US
Mailing Address - Phone:423-676-9030
Mailing Address - Fax:815-301-9056
Practice Address - Street 1:167 ANDERSON RD
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-5334
Practice Address - Country:US
Practice Address - Phone:423-676-9030
Practice Address - Fax:815-301-9056
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD204542085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology