DR. William Wagner Rose III, M.D.

NPI #1619995271 in Decatur, Georgia

Provider Information

NPI Number: 1619995271
Entity Type: Individual
Name: DR. William Wagner Rose III, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Jul 18, 2006
Last Updated: Jan 18, 2012

Practice Location

Address: 2675 N DECATUR RD
Address 2: SUITE 701
City: Decatur
State: Georgia
ZIP Code: 30033-6131
Phone: (404) 299-6488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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