Eugennie Gloria Williams-Rose
Nurse Practitioner, Family in Austell, GA. Individual provider (NPI-1).
NPI number1710695895
StatusActive
Last updated in NPPESJan 18, 2024
Details
- NPI
- 1710695895
- Entity type
- Individual (NPI-1)
- Name
- Eugennie Gloria Williams-Rose
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2022
- Certification date
- Jan 18, 2024
- Last updated
- Jan 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 10221452 | GA | Yes |
Practice location
4760 Austell Rd Ste 3Austell, GA 30106-2007
Phone 770-726-2477
Mailing address
3649 Lear CtDouglasville, GA 30135-7745
Phone 678-448-8525
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All 76 Family Nurse Practitioner providers in Austell · All 1,467 providers in Austell
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