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Individual

BARRY J ROSEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1218 W PACES FERRY RD NW, SUITE 204, ATLANTA, GA 30327-2308
(404) 841-6262
(888) 343-1740
Mailing address
1218 W PACES FERRY RD NW, SUITE 204, ATLANTA, GA 30327-2308
(404) 841-6262
(888) 343-1740

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
67600
GA
2086X0206X
Surgical Oncology Physician
Primary
67600
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3812866
GA
Enumeration date
08/11/2005
Last updated
04/06/2016
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