Healthcare Provider Details
I. General information
NPI: 1508885542
Provider Name (Legal Business Name): ESPERANZA A ROWELL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/19/2006
Last Update Date: 11/23/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1077 S MAIN ST
MADISON GA
30650-2073
US
IV. Provider business mailing address
PO BOX 72483
MARIETTA GA
30007-2483
US
V. Phone/Fax
- Phone: 770-578-1800
- Fax: 770-578-6168
- Phone: 770-578-1800
- Fax: 770-578-1800
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 030535 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: