Timothy Roose, CRNA

NPI 1881689917 · on the registry since 2005

Practice

Address: One Meadows Pkwy
Vidalia, GA 30474
Phone: (912) 538-5359
Fax: (912) 538-5228
Organisation at this address: Meadows Regional Medical Center Inc
Southeast Regional Primary Care Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 367500000X
367500000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-10-09

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