Locke, Mary Rose

Locke, Mary Rose is an individual health care provider with primary practice located at 1620 Mulkey Rd Ste 100, Austell GA 30106-1171. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Locke, Mary Rose can be contacted via phone (770) 953-3331.

Contact Information

Primary practice address
1620 Mulkey Rd Ste 100 Austell GA 30106-1171
Phone: (770) 953-3331
Fax: (770) 739-9609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN198225 Georgia

Profile Details

NPI number 1376930404
LBN Legal business name Locke, Mary Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2015
Last updated Jan 20th, 2022 - about 4 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.

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