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Individual

ROSA L LANGELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
80 INTERSTATE SOUTH DR, STE B, JASPER, GA 30143-6226
(706) 692-9081
(706) 692-0155
Mailing address
80 INTERSTATE SOUTH DR, STE B, JASPER, GA 30143-6226
(706) 692-9081
(706) 692-0155

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
047613
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00832477A
GA
Enumeration date
04/05/2006
Last updated
05/22/2008
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