Individual
MS. ROSEMARIE CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1061 HARMON AVE STE 1D06, FORT STEWART, GA 31314-5641
(912) 435-5077
Mailing address
1061 HARMON AVE STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-5077
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
117580
NC
363A00000X
Physician Assistant
5231
GA
363AS0400X
Surgical Physician Assistant
9102253
FL
Other
Enumeration date
08/25/2005
Last updated
02/26/2020
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