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Individual

STEVEN MICHAEL ROSENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1365 ROCK QUARRY RD, SUITE 302, STOCKBRIDGE, GA 30281-5029
(770) 692-5830
(770) 692-5835
Mailing address
1365 ROCK QUARRY RD, SUITE 302, STOCKBRIDGE, GA 30281-5029
(770) 692-5830
(770) 692-5835

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036445
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000525489D
GA
05
000525489E
GA
Enumeration date
07/19/2005
Last updated
03/26/2010
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