Individual
DAVID ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
120 MEDICAL PARK DR, WALTERBORO, SC 29488-5719
(843) 782-4141
(843) 549-7967
Mailing address
13145 CHARLESTON HWY, ROUND O, SC 29474-3691
(843) 290-1286
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2906
SC
Other
Enumeration date
12/21/2017
Last updated
12/11/2019
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