Provider Demographics
NPI:1912144783
Name:ROUSE, GEORGE JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:JOHN
Last Name:ROUSE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:269 MARKET PLACE BLVD UNIT 133
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121-2235
Mailing Address - Country:US
Mailing Address - Phone:404-642-1129
Mailing Address - Fax:770-635-8641
Practice Address - Street 1:3405 DALLAS HWY SW
Practice Address - Street 2:SUITE 301
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-6425
Practice Address - Country:US
Practice Address - Phone:678-581-8442
Practice Address - Fax:770-635-8641
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO8426111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor