Individual
RICHARD E ROSEBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 DIXIE STREET, CARROLLTON, GA 30117
(770) 834-0751
(770) 834-0753
Mailing address
PO BOX 116186, ATLANTA, GA 30368-6186
(770) 834-0751
(770) 834-0753
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
072446
GA
2085R0202X
Diagnostic Radiology Physician
105525
MN
2085R0202X
Diagnostic Radiology Physician
54577
MN
2085R0202X
Diagnostic Radiology Physician
MD0000045447
TN
Other
Enumeration date
12/06/2009
Last updated
05/17/2026
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