| The Rouse Foundation, Inc | |
|
158 Newnan Road Carrollton GA 30117 | |
| (770) 328-5458 | |
| Not Available |
| Full Name | The Rouse Foundation, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 158 Newnan Road, Carrollton, Georgia |
| Authorized Official Name and Position | Rosalind Smith (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4042936979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Rouse Foundation, Inc Po Box 2546 Carrollton GA 30112-0047 Ph: (770) 328-5458 | The Rouse Foundation, Inc 158 Newnan Road Carrollton GA 30117 Ph: (770) 328-5458 |
| NPI Number | 1033806435 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033806435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261QC1500X | Clinic/center - Community Health | () | Secondary |
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