Individual
WILLIAM MONROE ROUSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-BC
Contact information
Practice address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 283-3030
Mailing address
3096 WARRIOR RD, WAYCROSS, GA 31503-8906
(912) 550-9733
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN140401
GA
Other
Enumeration date
01/08/2009
Last updated
02/05/2015
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