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 |
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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 |
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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 |
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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 |