Individual
SCOTT PATRICK ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.M.D.
Contact information
Practice address
55 WHITCHER ST NE, SUITE 140, MARIETTA, GA 30060-1155
(770) 422-7630
(770) 422-6017
Mailing address
345 PARKWAY 575, SUITE 203, WOODSTOCK, GA 30188-3897
(770) 924-4095
(770) 924-4096
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN012652
GA
Other
Enumeration date
05/15/2007
Last updated
05/20/2011
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