Individual
ELIZABETH ANNE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
64 BLUFFTON RD, BLUFFTON, SC 29910-7621
(843) 757-0676
Mailing address
64 BLUFFTON RD, BLUFFTON, SC 29910-7621
(843) 757-0676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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