Individual
WILLIAM ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
131 NEWPORT LN SW, LILBURN, GA 30047-2946
(770) 935-8175
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN126199
GA
Other
Enumeration date
12/05/2006
Last updated
07/12/2007
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