Individual
JULIAN F ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 TOWNE CENTER BLVD, STE. 101A, RIDGELAND, MS 39157-4843
(601) 982-7111
(601) 981-2524
Mailing address
PO BOX 320538, FLOWOOD, MS 39232-0538
(601) 982-7111
(601) 981-2524
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
08416
MS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
08416
MS
207RP1001X
Pulmonary Disease Physician
Primary
08416
MS
207RS0012X
Sleep Medicine (Internal Medicine) Physician
08416
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010055
—
MS
Enumeration date
08/09/2006
Last updated
08/27/2012
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