Individual
MARY-ANNE ROTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
38 COFFEE POINTE DR, SAVANNAH, GA 31419-3169
(912) 920-3021
Mailing address
38 COFFEE POINTE DR, SAVANNAH, GA 31419
(912) 920-3021
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN116162NP
GA
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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