Most Relevant Information
Provider Data
| NPI Number: | 1003501065 |
| Provider Name: | LINDA PONCE ROSAS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2023 |
| Last Updated: | 09/27/2024 |
Provider Practice Location
1432 BROADRICK DRIVE
DALTON
GA
30720
Practice Location Phone/Fax
| Phone: | 7062268990 |
| Fax: | 7065295317 |
Provider Mailing Location
1200 MEMORIAL DRIVE
DALTON
GA
30720
Provider Mailing Phone/Fax
| Phone: | 7062268996 |
| Fax: | 7062726761 |