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NPI Code Detail

MEDICARE: KATHERINE ROSEN M.D.

MEDICARE: KATHERINE ROSEN 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
1208C00000XColon & Rectal Surgery Physician93037SC
2208600000XSurgery Physician94769GA
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1346602182
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ROSEN M.D.
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-695-6697
Fax Number :
Provider Business Practice Location Address
First Line : 1333 TAYLOR ST STE 5F
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2951
Country : US
Telephone Number : 803-748-9966
Fax Number : 803-748-7174
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 01/28/2026

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Directions to “ KATHERINE ROSEN M.D.” Practice Location

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