NPI 1457704033

Elizabeth Diane Rose, MD

Practitioner Surgery Physician Fort Gordon, GA

Practice location

Address: 300 East Hospital Road, Fort Gordon, GA 30905-5650
Phone: (706) 787-2567

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 89605 (SC)

Other Surgery providers in Georgia →

Registry record

NPI: 1457704033
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2016
Record last updated: 18 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.