Individual
DR. JOSE ROSSELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1267 HIGHWAY 54 W, SUITE 5200, FAYETTEVILLE, GA 30214
(770) 719-5601
(678) 817-4361
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036860
GA
Other
Enumeration date
09/25/2006
Last updated
07/16/2018
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