Individual
NEISHA MARYAH ROUGELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2220 WISTERIA DR STE 102, SNELLVILLE, GA 30078-4604
(470) 679-1200
(470) 679-1201
Mailing address
2220 WISTERIA DR STE 102, SNELLVILLE, GA 30078-4604
(470) 679-1200
(470) 679-1201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
103983
GA
Other
Enumeration date
03/23/2022
Last updated
11/11/2025
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