Individual
ANITA M ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
110 NORMAN DORMINY DR STE A, FITZGERALD, GA 31750-8858
(229) 409-0874
(229) 424-7392
Mailing address
117 KITE RD, SWAINSBORO, GA 30401-3231
(478) 289-1303
(478) 289-7466
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN102271 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
554945714A
—
GA
Enumeration date
10/23/2006
Last updated
08/16/2018
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