Individual
ANTONIO A ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 W WHEELER PKWY, AUGUSTA, GA 30909-1899
(706) 868-1906
(706) 868-0150
Mailing address
1215 W WHEELER PKWY, AUGUSTA, GA 30909-1899
(706) 868-1906
(706) 868-0150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
051268
GA
208000000X
Pediatrics Physician
MD61412970
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000953004B
—
GA
05
—
2238141
—
WA
Enumeration date
11/21/2006
Last updated
06/16/2023
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