Individual
MR. THOMAS DAVIS ROSE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
605 LORD NELSON CT, CHESAPEAKE, VA 23320-7912
(757) 549-5210
(757) 549-5210
Mailing address
605 LORD NELSON CT, CHESAPEAKE, VA 23320-7912
(757) 549-5210
(757) 549-5210
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0001884
MD
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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