Individual
SHARON ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3780 EISENHOWER PKWY, MACON, GA 31206-0800
(478) 633-5500
(478) 784-5496
Mailing address
3780 EISENHOWER PKWY, MACON, GA 31206-0800
(478) 633-5500
(478) 784-5496
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN210573
GA
Other
Enumeration date
08/31/2016
Last updated
08/06/2020
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