Provider Demographics
NPI:1275075582
Name:ROSE, ESTHER (MS)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:ROSE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 NEW PEACHTREE RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-3326
Mailing Address - Country:US
Mailing Address - Phone:404-778-2080
Mailing Address - Fax:
Practice Address - Street 1:5115 NEW PEACHTREE RD
Practice Address - Street 2:SUITE 301
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-3326
Practice Address - Country:US
Practice Address - Phone:404-778-2080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS