Most Relevant Information
Provider Data
| NPI Number: | 1003528464 |
| Provider Name: | ERIKA ROUSSEAU RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 9412623 |
Most Important Dates
| Enumeration Date: | 12/16/2022 |
| Last Updated: | 12/16/2022 |
Provider Practice Location
263 SHELLBARK DR
MCDONOUGH
GA
302521625
Practice Location Phone/Fax
| Phone: | 5612014678 |
| Fax: |
Provider Mailing Location
263 SHELLBARK DR
MCDONOUGH
GA
302521625
Provider Mailing Phone/Fax
| Phone: | 5612014678 |
| Fax: |