SearchGeorgia106S00000X

Hezekiah Rose

NPI 1396600920 · on the registry since 2025 · sole proprietor

Practice

Address
680 Thornton Way
Lithia Springs, GA 30122
Phone
(888) 329-4535
Clinicians at this address
12

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia