Individual
SHERICA NICOLE ROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
526 FOREST PKWY STE K, FOREST PARK, GA 30297-6140
(770) 545-2052
Mailing address
280 PARK HAVEN LANE, TYRONE, GA 30290
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
61157
GA
208000000X
Pediatrics Physician
Primary
A96532
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A965320
—
CA
05
—
61157
—
GA
Enumeration date
03/05/2007
Last updated
03/19/2015
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