Individual
DR. DAVID SAMUEL ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1007 MARY ST, WAYCROSS, GA 31503-3823
(912) 449-7207
(912) 284-2582
Mailing address
1007 MARY ST, WAYCROSS, GA 31503-3823
(912) 449-7207
(912) 284-2582
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
054051
GA
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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