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Individual

WALTER B ROSE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
721 GLENWOOD DR, SUITE 550-WEST MEMORIAL MEDICAL BUILDING, CHATTANOOGA, TN 37404-1106
(423) 698-8692
(423) 624-7813
Mailing address
721 GLENWOOD DR, SUITE 550-WEST MEMORIAL MEDICAL BUILDING, CHATTANOOGA, TN 37404-1106
(423) 698-8692
(423) 624-7813

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD16460
TN

Other

Enumeration date
09/09/2005
Last updated
07/09/2007
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