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Individual

MR. DAVID JULIUS ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1462 MONTREAL RD STE 303, TUCKER, GA 30084-6924
(770) 938-9761
(770) 938-6509
Mailing address
1462 MONTREAL RD STE 303, TUCKER, GA 30084-6924
(770) 938-9761
(770) 938-6509

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032284
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000405457F
GA
Enumeration date
05/10/2006
Last updated
02/22/2008
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