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Contact Information

PHILIP T DE ROSA, PA-C
61 WHITCHER ST NE STE 4120
MARIETTA, GA30060-1179
 Phone: 770-424-9732
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PHILIP T DE ROSA · (Male)

NPI # 1194236620
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/24/2017
Last updated 01/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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