Individual provider · Type 1 NPI

Daniel Isaiah Robert Rose, MD

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1124878699 Active

Practice location

49 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3049

Mailing address

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124878699

Daniel Isaiah Robert Rose, MD's National Provider Identifier is 1124878699, issued on Mar 26, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Apr 1, 2024.