Kayla Marie Rose, PA-C

NPI #1689021651 in Valdosta, Georgia

Provider Information

NPI Number: 1689021651
Entity Type: Individual
Name: Kayla Marie Rose, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 19, 2016
Last Updated: Mar 23, 2018

Practice Location

Address: 3207 COUNTRY CLUB DRIVE
Address 2: BLDG. B
City: Valdosta
State: Georgia
ZIP Code: 31605-1029
Phone: (229) 433-8160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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