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Individual

DR. MELODY LAWANDA BRAY-ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3559 SPRING SHLS, ELLENWOOD, GA 30294-4237
(404) 241-6032
Mailing address
3559 SPRING SHLS, ELLENWOOD, GA 30294-4237
(404) 241-6032

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
057147
GA
207Q00000X
Family Medicine Physician
ME 91721
FL

Other

Enumeration date
11/18/2005
Last updated
05/17/2009
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