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1194236620
PHILIP THOMAS DE ROSA
MARIETTA, GA
NPI
1194236620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363AS0400X Physician Assistant, Surgical
Enumeration Date
2017-10-24
Last Update Date
2021-01-26
Business Address
Mr. PHILIP THOMAS DE ROSA PA-C
61 WHITCHER ST NE STE 4120
MARIETTA, GA 30060-1179
Phone number: 770-424-9732
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Mailing Address
Mr. PHILIP THOMAS DE ROSA PA-C
61 WHITCHER ST NE STE 4120
MARIETTA, GA 30060-1179
Phone number: 770-424-9732
Copy
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