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Dr. Kellie Anne Rose, MD
Specialist in Decatur, Georgia
NPI 1336174499

Kellie Anne Rose is a Specialist based in Tucker, GA. Kellie Anne Rose practices in Decatur, GA and has the professional credentials of MD. The NPI Number for Kellie Anne Rose is 1336174499 and holds a License No. 033060 (Georgia).

The current practice location address for Kellie Anne Rose is 2675 N Decatur Rd, Decatur, GA and can be reached out via phone at 404-299-6488 and via fax at 404-299-7522. You can also correspond with Kellie Anne Rose through the mailing address at 1462 MONTREAL RD, TUCKER, GA - 30084-6931 (mailing address contact number: 404-299-6488).

Location: 2675 N Decatur Rd, Decatur, GA, 30084-6931
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336174499
Provider Name
Kellie Anne Rose
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2675 N Decatur Rd, Decatur, GA, 30084-6931
Phone Number
404-299-6488
Fax Number
404-299-7522
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00653045B 05 GA
institution
Provider Business Practice Location Address Details
Address
2675 N Decatur Rd
City
Decatur
State
Georgia
Zip
30033-6131
Phone Number
404-299-6488
Fax Number
404-299-7522
person
Provider Business Mailing Address Details
Address
2675 N Decatur Rd
City
Decatur
State
Georgia
Zip
30033-6131
Phone Number
404-299-6488
Fax Number
404-299-7522
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
033060 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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