Individual
DR. JANA M ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
134B MARKET CORNERS DR, CORNELIA, GA 30531-5766
(706) 776-3132
(706) 776-2836
Mailing address
PO BOX 191, CORNELIA, GA 30531-1002
(706) 776-3132
(706) 776-2836
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000902
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00871934C
—
GA
01
—
P00631297
RAILROAD MEDICARE
GA
Enumeration date
07/14/2006
Last updated
02/12/2013
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