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Organization

THE ROUSE FOUNDATION, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSALIND SMITH (CHIEF OPERATING OFFICER)
(404) 293-6979
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
261QC1500X
Community Health Clinic/Center

Other

Enumeration date
04/18/2023
Last updated
04/18/2023
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