Individual
ROSS MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1730 MOUNT VERNON RD STE G, ATLANTA, GA 30338-4245
(770) 815-6853
Mailing address
746 ROBINSON FARMS DR, MARIETTA, GA 30068-3281
(706) 338-3893
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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