Provider Demographics
NPI:1558656421
Name:ROLAND, NAILAH CLEOPATRA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAILAH
Middle Name:CLEOPATRA
Last Name:ROLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:619 S DARGAN ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2555
Mailing Address - Country:US
Mailing Address - Phone:843-432-2502
Mailing Address - Fax:843-799-1392
Practice Address - Street 1:619 S DARGAN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2555
Practice Address - Country:US
Practice Address - Phone:843-432-2502
Practice Address - Fax:843-799-1392
Is Sole Proprietor?:No
Enumeration Date:2011-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37719207R00000X
SCTL37719207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine