Individual
JOEL SIMON ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 DOCTORS DR STE A, KINSTON, NC 28501-1584
(252) 775-5999
(252) 208-1647
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101255877
VA
208600000X
Surgery Physician
Primary
2014-01404
NC
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/30/2008
Last updated
08/10/2021
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