Elizabeth Diane Rose, MD | |
300 East Hospital Road, Fort Gordon, GA 30905-5650 | |
(706) 787-2567 | |
Not Available |
Full Name | Elizabeth Diane Rose |
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Gender | Female |
Speciality | Surgery |
Location | 300 East Hospital Road, Fort Gordon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1457704033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | 89605 (South Carolina) | Primary |
Entity Name | Healogics Specialty Physicians Of South Carolina Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033531850 PECOS PAC ID: 8325261209 Enrollment ID: O20140521002244 |
Mailing Address | Practice Location Address |
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Elizabeth Diane Rose, MD 300 East Hospital Road, Fort Gordon, GA 30905-5650 Ph: () - | Elizabeth Diane Rose, MD 300 East Hospital Road, Fort Gordon, GA 30905-5650 Ph: (706) 787-2567 |
Dr. Byron James Faler, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 W Hospital Rd, Dept. Of General Surgery, Fort Gordon, GA 30905 Phone: 706-787-1153 | |
Dr. Jason M. Seery, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 West Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905 Phone: 706-787-2720 Fax: 706-787-8176 | |
Deidres Higgins, P.A. Surgery Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Ddeamc, Fort Gordon, GA 30905 Phone: 706-787-6845 | |
Dr. Joel Robert Brockmeyer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-0958 | |
Dr. Eric David Martin, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 707-787-1154 | |
Dr. Mark Gerard Ziemba, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 300 East Hospital Road, Surgical Care Line, Fort Gordon, GA 30905 Phone: 706-787-6224 Fax: 706-787-1282 |