Provider Demographics
NPI:1740279462
Name:ROLAND, DIANNE C (MD)
Entity type:Individual
Prefix:DR
First Name:DIANNE
Middle Name:C
Last Name:ROLAND
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:725 GLENWOOD DR
Mailing Address - Street 2:STE E688
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1192
Mailing Address - Country:US
Mailing Address - Phone:423-648-1148
Mailing Address - Fax:423-643-2217
Practice Address - Street 1:4700 BATTLEFIELD PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-5166
Practice Address - Country:US
Practice Address - Phone:706-861-2826
Practice Address - Fax:706-861-2773
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2017-04-14
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Provider Licenses
StateLicense IDTaxonomies
TN33939207RE0101X
GA058634207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3856444Medicare ID - Type Unspecified
TNE86967Medicare UPIN