Individual
DR. ETHEL S. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E WOODROW WILSON AVE, VAMC, 127, JACKSON, MS 39216-5116
(601) 364-1285
(601) 364-1257
Mailing address
1500 E. WOODROW WILSON DR, VAMC, 127, JACKSON, MS 39216-5116
(601) 364-1285
(601) 364-1257
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
09736
MS
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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