Individual
AUTUMN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1810 MULKEY RD, AUSTELL, GA 30106-1151
(770) 819-9262
Mailing address
400 W PEACHTREE ST NW UNIT 807, ATLANTA, GA 30308-3545
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RN277809
GA
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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