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Individual

MR. JAMES E ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
4861 BILL GARDNER PKWY, STE 100, LOCUST GROVE, GA 30248-3644
(770) 626-5740
(770) 626-5750
Mailing address
4861 BILL GARDNER PKWY, STE 100, LOCUST GROVE, GA 30248-3644
(770) 626-5740
(770) 626-5750

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003570
GA

Other

Enumeration date
10/14/2008
Last updated
05/21/2015
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