Individual provider · Type 1 NPI
Eugennie Gloria Williams-Rose
Family Nurse Practitioner · Austell, GA
NPI number
1710695895
Active
Practice location
4760 Austell Rd Ste 3
Austell, GA 30106-2007
Mailing address
3649 Lear Ct
Douglasville, GA 30135-7745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 10221452 (GA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1710695895
Eugennie Gloria Williams-Rose's National Provider Identifier is 1710695895, issued on Nov 8, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Austell, GA. The record was last updated on Jan 18, 2024.