Individual
DONNA V. ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 LAKESHORE DR, VALDOSTA, GA 31602-2133
(229) 563-7946
Mailing address
2122 LAKESHORE DR, VALDOSTA, GA 31602-2133
(229) 563-7946
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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