Individual
DANIEL ISAIAH ROBERT ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 727-5658
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(901) 335-0355
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
04/01/2024
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