Individual
RHONDA R ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2496 COLUMBIA DR, DECATUR, GA 30034-1769
(404) 534-9222
(404) 534-9063
Mailing address
PO BOX 769609, ROSWELL, GA 30076-8224
(404) 534-9222
(404) 534-9063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
031820
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000401145D
—
GA
05
—
000401145E
—
GA
05
—
000401145F
—
GA
Enumeration date
11/10/2006
Last updated
05/05/2016
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