Individual
ROSE M ROOSEVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5878 SOUTHLAND DR, STONE MOUNTAIN, GA 30087-5281
(404) 543-1199
Mailing address
5878 SOUTHLAND DR, STONE MOUNTAIN, GA 30087-5281
(404) 543-1199
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
163WE0003X
GA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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