Organization
DRS ROSE AND THOMAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON DAWN HAROLD LPN OFFICE MANAGER (LPN OFFICE MANAGER)
(606) 248-7509
Entity
Organization
Contact information
Practice address
123 N 19TH ST, MIDDLESBORO, KY 40965
(606) 248-7509
(606) 248-5917
Mailing address
PO BOX 1679, NEW TAZEWELL, TN 37825-1679
(423) 626-4288
(423) 626-1101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65941957
—
KY
Enumeration date
05/15/2007
Last updated
04/19/2010
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