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Individual

DR. DAVID A ROSSELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3580 MASSEE LANE SUITE G, COLUMBUS, GA 31909
(762) 583-6110
(762) 583-6101
Mailing address
3580 MASSEE LANE SUITE G, COLUMBUS, GA 31909
(762) 583-6110
(762) 583-6101

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
GA 002439
GA
152W00000X
Optometrist
Primary
OPT002439
GA
152WC0802X
Corneal and Contact Management Optometrist
GA 002439
GA

Other

Enumeration date
05/04/2006
Last updated
03/06/2019
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