Green, Rose Marie
Green, Rose Marie is an sole proprietor health care provider with primary practice located at 1625 Pleasant Hill Rd Ste 140 , Duluth GA 30096-5863. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Green, Rose Marie can be contacted via phone (678) 924-4888.Contact Information
Primary practice address
1625 Pleasant Hill Rd Ste 140
Duluth GA 30096-5863
Phone: (678) 924-4888
Fax: (678) 924-4898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 012094 | Georgia |
Profile Details
| NPI number | 1891849451 |
|---|---|
| LBN Legal business name | Green, Rose Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891849451 | NPPES |
| Georgia | MEDICAID | 0090132622 |
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