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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790530079

Staley Rose, MD is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1120 15th Strreet BA7515
Augusta, GA 30912-4220
Phone: (706) 721-2541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790530079
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2024
Last updated in NPPESJuly 20, 2025
Certification dateJuly 20, 2025
Mailing address1120 15th Street Stovall Street, Augusta, GA 30912-0001

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