Individual
MRS. ANDREA A ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2796 HIGHWAY 20 SE, CONYERS, GA 30013-2735
(678) 374-5134
Mailing address
2796 HIGHWAY 20 SE, CONYERS, GA 30013-2735
(678) 374-5134
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
RN221014
GA
363L00000X
Nurse Practitioner
Primary
RN221014
GA
Other
Enumeration date
04/17/2018
Last updated
02/11/2019
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