Individual
MISS ANTRANIKA D. ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
33 UPPER RIVERDALE RD SW STE 107, RIVERDALE, GA 30274-2642
(678) 489-6734
(888) 497-4760
Mailing address
145 ACORN DR, MCDONOUGH, GA 30253-4703
(678) 749-5702
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN202316
GA
363LG0600X
Gerontology Nurse Practitioner
RN202316
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN202316
GA
Other
Enumeration date
11/13/2016
Last updated
01/10/2024
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