Individual
EUGENNIE GLORIA WILLIAMS-ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4760 AUSTELL RD STE 3, AUSTELL, GA 30106-2007
(770) 726-2477
Mailing address
3649 LEAR CT, DOUGLASVILLE, GA 30135-7745
(678) 448-8525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10221452
GA
Other
Enumeration date
11/08/2022
Last updated
01/18/2024
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