Individual
RAYMOND ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 PARKE PLAZA CIR, STE 103, STONE MOUNTAIN, GA 30087
(770) 498-9355
(770) 498-6294
Mailing address
1805 PARKE PLAZA CIR, STE 103, STONE MOUNTAIN, GA 30087
(770) 498-9355
(770) 498-6294
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
015610
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00361182B
—
GA
Enumeration date
06/20/2006
Last updated
07/08/2007
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