Provider Demographics
NPI:1649456609
Name:ROLLINS, JAMIE HAYES (MD)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:HAYES
Last Name:ROLLINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:684 SIXES RD
Mailing Address - Street 2:STE 220
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30115-8721
Mailing Address - Country:US
Mailing Address - Phone:678-388-5485
Mailing Address - Fax:678-388-5489
Practice Address - Street 1:684 SIXES RD
Practice Address - Street 2:STE 220
Practice Address - City:HOLLY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30115-8721
Practice Address - Country:US
Practice Address - Phone:678-388-5485
Practice Address - Fax:678-388-5489
Is Sole Proprietor?:No
Enumeration Date:2008-01-21
Last Update Date:2021-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA060467208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA545752790JMedicaid
GA545752790IMedicaid
GA202I375259Medicare PIN