Individual
JAMIE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3040 HIGHLANDS PKWY SE, SMYRNA, GA 30082-5176
(678) 840-2288
Mailing address
6014 FAIRLONG CT NW, ACWORTH, GA 30101-7890
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
LD002823
GA
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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