IndividualActive
Gary Rose, DNP, FNP, ENP, APRN
NPI 1023628898 · Addiction Medicine (Anesthesiology) Physician · Charleston, SC
Provider details
- NPI number
- 1023628898
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DNP, FNP, ENP, APRN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00007961-A (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1755 Ashley Hall Rd Apt E2
Charleston, SC 29407-3815
Phone: (843) 693-8385
Approximate (ZIP-level) locationGet directions
Mailing address
1755 Ashley Hall Rd Apt E2
Charleston, SC 29407-3815
Registry dates
- Enumerated
- 2020-08-05
- Last updated
- 2023-03-28
- Certified
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.