Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eugennie Gloria Williams-Rose

Individual provider Family Nurse Practitioner · NPI 1710695895

Eugennie Gloria Williams-Rose is a Family Nurse Practitioner in Austell, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022

Practice location Address checks out

4760 Austell Rd Ste 3
Austell, GA 30106-2007
Phone: (770) 726-2477
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10221452 (GA)

Record details

NPI number1710695895
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 8, 2022
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024
Mailing address3649 Lear Ct, Douglasville, GA 30135-7745

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