Individual
ANTHONY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
634 GAINES AVE, ALBANY, GA 31701-3810
(229) 288-0143
Mailing address
634 GAINES AVE, ALBANY, GA 31701-3810
(229) 288-0143
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/13/2015
Last updated
12/13/2015
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