Individual
DR. DEJA RENEE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
148 BILL CARRUTH PKWY STE 340, HIRAM, GA 30141-3756
(470) 956-3845
Mailing address
148 BILL CARRUTH PKWY STE 340, HIRAM, GA 30141-3756
(470) 956-3845
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
93259
GA
Other
Enumeration date
04/19/2016
Last updated
12/14/2023
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