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Organization

CARROLL ROSE, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARROLL E. ROSE MD (OWNER)
(423) 626-4288
Entity
Organization

Contact information

Practice address
1610 TAZEWELL RD, STE 301, TAZEWELL, TN 37879-3600
(423) 626-4288
(423) 626-1101
Mailing address
PO BOX 1679, NEW TAZEWELL, TN 37825-1679
(865) 670-6199
(865) 670-6188

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TN

Other

Enumeration date
05/21/2012
Last updated
05/29/2012
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