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Individual

DR. ROSE M TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
715 VILLAGE SQUARE DR, STONE MOUNTAIN, GA 30083-3379
(404) 299-8444
(404) 292-8824
Mailing address
715 VILLAGE SQUARE DR, STONE MOUNTAIN, GA 30083-3379
(404) 299-8444
(404) 292-8824

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
026666
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002416
GROUP MEDICARE #
GA
05
00335805D
GA
Enumeration date
04/02/2007
Last updated
07/08/2007
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