| Doctor Name: | WILLIAM MONROE ROUSE |
| NPI Number: | 1124265426 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN-BC |
| License Number: | RN140401 |
| Business Practice Address: | 1900 Tebeau St Waycross, GA - 315016357 |
| Business Phone Number: | 9122833030 |
| Business Fax Number: | |
| Mailing Address: | 3096 Warrior Rd, WAYCROSS |
| State: | GA |
| Postal Code: | 315038906 |
| Phone Number: | 9125509733 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2009 |
| NPI Last Update Date: | 02/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | RN140401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |