| Doctor Name: | DR. JANA M ROSE |
| NPI Number: | 1063438745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | POD000902 |
| Business Practice Address: | 134b Market Corners Dr Cornelia, GA - 305315766 |
| Business Phone Number: | 7067763132 |
| Business Fax Number: | 7067762836 |
| Mailing Address: | Po Box 191, CORNELIA |
| State: | GA |
| Postal Code: | 305311002 |
| Phone Number: | 7067763132 |
| Fax Number: | 7067762836 |
| NPI Enumeration Date: | 07/14/2006 |
| NPI Last Update Date: | 02/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | POD000902 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |