Gomez, Rosa Anitza

Gomez, Rosa Anitza is an individual health care provider with primary practice located at 7601 Southcrest Pkwy , Southaven MS 38671-4739. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Gomez, Rosa Anitza can be contacted via phone (662) 349-4000.

Contact Information

Primary practice address
7601 Southcrest Pkwy Southaven MS 38671-4739
Phone: (662) 349-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39201 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 18739 Mississippi

Profile Details

NPI number 1740220326
LBN Legal business name Gomez, Rosa Anitza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 30th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740220326 NPPES
Tennessee MEDICAID 3326869
Tennessee Other 1383U
Tennessee Other 4097069
Tennessee MEDICAID 05273041

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