| Dr Deja Renee Rose, MD | |
|
148 Bill Carruth Pkwy Ste 340, Hiram, GA 30141-3756 | |
| (470) 956-3845 | |
| Not Available |
| Full Name | Dr Deja Renee Rose |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 148 Bill Carruth Pkwy Ste 340, Hiram, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710331459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 93259 (Georgia) | Primary |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Deja Renee Rose, MD 148 Bill Carruth Pkwy Ste 340, Hiram, GA 30141-3756 Ph: (470) 956-3845 | Dr Deja Renee Rose, MD 148 Bill Carruth Pkwy Ste 340, Hiram, GA 30141-3756 Ph: (470) 956-3845 |
Kun Tang, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 126 Enterprise Path, Hiram, GA 30141 Phone: 678-567-0929 | |
Maryamnaz Zaribaf, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 148 Bill Carruth Pkwy Ste 340, Hiram, GA 30141 Phone: 470-956-3845 |