Provider Demographics
NPI:1891171153
Name:JAMES, ROSE M (DPM)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:M
Last Name:JAMES
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:425 FOREST PKWY
Mailing Address - Street 2:STE 101
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297-2135
Mailing Address - Country:US
Mailing Address - Phone:404-363-9944
Mailing Address - Fax:404-362-0591
Practice Address - Street 1:425 FOREST PKWY STE 101
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-2135
Practice Address - Country:US
Practice Address - Phone:404-363-9944
Practice Address - Fax:404-362-0591
Is Sole Proprietor?:No
Enumeration Date:2015-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAPOD001341213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery