Individual
CHARLES EDWARD ROSE III
Active
Individual
CHARLES EDWARD ROSE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
40916
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100020800
—
KY
01
—
P00396857
RR MEDICARE
KY
Enumeration date
03/14/2007
Last updated
03/04/2008
Update your record
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