Individual
JANINE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-A (AA-C)
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 778-7408
Mailing address
524 FORTUNE RIDGE RD, STONE MOUNTAIN, GA 30087-4753
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
03/07/2023
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