Individual
RAVEN PAULETTE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3540 COBB PKWY NW, ACWORTH, GA 30101-4178
(770) 974-3911
Mailing address
3809 STONEWALL DR NW, KENNESAW, GA 30152-2455
(404) 645-4993
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
04/14/2023
Last updated
07/13/2026
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