Healthcare Provider Details

I. General information

NPI: 1386523694
Provider Name (Legal Business Name): ROXANNE WELSCH CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 PEACHTREE RD NW
ATLANTA GA
30309-1281
US

IV. Provider business mailing address

3350 WESTBROOK RD
SUWANEE GA
30024-2453
US

V. Phone/Fax

Practice location:
  • Phone: 404-605-2000
  • Fax:
Mailing address:
  • Phone: 770-945-7929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN082338
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: