Individual
DR. ROSE MARIE CLASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1125 TROUPE ST, AUGUSTA, GA 30904-4480
(067) 737-4575
(706) 731-5289
Mailing address
PO BOX 3842, 1125 TROUPE STREET, AUGUSTA, GA 30914-3842
(706) 737-4575
(706) 731-5289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
046748
GA
207L00000X
Anesthesiology Physician
Primary
046748
GA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
046748
GA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
046748
GA
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
046748
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
046748
GA
207LP3000X
Pediatric Anesthesiology Physician
046748
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000815911B
—
GA
01
—
050079754
RR MEDICARE
—
01
—
114003
BCBS-GA
—
01
—
235002300
ACS / US DOL
—
Enumeration date
07/28/2006
Last updated
04/12/2018
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