Individual
DR. GEORGE L ROSEBROCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3531 MARY ADER DRIVE, BLDG A, CHARLESTON, SC 29414
(843) 744-1669
(843) 769-9971
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
06121
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061211
—
SC
01
—
P00648639
RAILROAD MEDICARE
SC
01
—
P00727214
RAILROAD MEDICARE ID-RSFPP
SC
Enumeration date
07/19/2006
Last updated
10/20/2015
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