Individual
MYRA E ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 756-1400
Mailing address
720 WESTVIEW DRIVE SW, HARRIS BLDG., 100-A, ATLANTA, GA 30310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
018727
GA
207RH0003X
Hematology & Oncology Physician
Primary
018727
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000185952E
—
GA
Enumeration date
07/21/2005
Last updated
08/09/2021
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