Individual
MRS. REBECCA BETHANNE ROTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 FORNUM DRIVE, GROVETOWN, GA 30813-2697
(706) 434-3500
(706) 434-3503
Mailing address
3686 WHEELER ROAD, AUGUSTA, GA 30909-6520
(706) 922-6300
(706) 922-6303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005421
GA
Other
Enumeration date
10/01/2008
Last updated
07/22/2010
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