Healthcare Provider Details

I. General information

NPI: 1508894478
Provider Name (Legal Business Name): ERIN ROSENBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 CLIFTON RD NE FL 3
ATLANTA GA
30322-1060
US

IV. Provider business mailing address

1405 CLIFTON RD NE FL 3
ATLANTA GA
30322-1060
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-6670
  • Fax: 404-785-1362
Mailing address:
  • Phone: 404-785-6670
  • Fax: 404-785-1362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number064996
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number64996
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: