Provider Demographics
NPI:1164474300
Name:ROLLING ROSE, INC.
Entity Type:Organization
Organization Name:ROLLING ROSE, INC.
Other - Org Name:JANICE R. STRANG, D.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:STRANG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-498-6653
Mailing Address - Street 1:6678 ROCKBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-4801
Mailing Address - Country:US
Mailing Address - Phone:770-498-6653
Mailing Address - Fax:770-498-6653
Practice Address - Street 1:6678 ROCKBRIDGE RD
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-4801
Practice Address - Country:US
Practice Address - Phone:770-498-6653
Practice Address - Fax:770-498-6653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2238111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAT97859Medicare UPIN
GA35ZCDCWMedicare ID - Type Unspecified