# THE ROUSE FOUNDATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033806435
- **Authorized official:** ROSALIND SMITH (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (404) 293-6979

## Contact information

- **Practice address:** 158 NEWNAN ROAD, CARROLLTON, GA 30117
- **Practice address phone:** (770) 328-5458
- **Mailing address:** PO BOX 2546, CARROLLTON, GA 30112-0047
- **Mailing address phone:** (770) 328-5458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/18/2023
- **Last updated:** 04/18/2023