Individual
DR. JOHN WAYNE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3915 CASCADE RD SW, SUITE 310, ATLANTA, GA 30331-8512
(404) 696-1944
(404) 696-5705
Mailing address
3915 CASCADE RD SW, SUITE 310, ATLANTA, GA 30331-8512
(404) 696-1944
(404) 696-5705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
002280
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000235331A
—
GA
05
—
000235331F
—
GA
Enumeration date
09/22/2006
Last updated
04/21/2016
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