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NPI Code Detail

MEDICARE: DR. ANELIA P ROSE M.D.

MEDICARE: DR. ANELIA P ROSE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician200000934NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609848928
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANELIA P ROSE M.D.
Provider Business Mailing Address
First Line : 6020 FAYETTEVILLE RD
Second Line :
City : DURHAM
State : NC
Zip : 27713-9754
Country : US
Telephone Number : 919-572-2000
Fax Number : 919-572-2010
Provider Business Practice Location Address
First Line : 6020 FAYETTEVILLE RD
Second Line :
City : DURHAM
State : NC
Zip : 27713-9754
Country : US
Telephone Number : 919-572-2000
Fax Number : 919-572-2010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 07/31/2019

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