Individual
ROSEMARIE MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 AVALON PKWY STE 345, MCDONOUGH, GA 30253-3054
(347) 303-9452
Mailing address
2020 AVALON PKWY STE 345, MCDONOUGH, GA 30253-3054
(347) 303-9452
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
21094096
GA
164W00000X
Licensed Practical Nurse
21094096
GA
174200000X
Meals Provider
21094096
GA
251S00000X
Community/Behavioral Health Agency
21094096
GA
343800000X
Secured Medical Transport (VAN)
Primary
21094096
GA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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