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Individual

DR. MAURO ANGELO ROSSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3320 OLD JEFFERSON RD, BUILDING 300 SUITE A, ATHENS, GA 30607-1400
(706) 546-7417
(706) 612-1310
Mailing address
3320 OLD JEFFERSON RD, BUILDING 300 SUITE A, ATHENS, GA 30607-1400
(706) 546-7417
(706) 612-1310

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000767
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00679533A
GA
Enumeration date
12/29/2005
Last updated
02/20/2012
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