Organization
NATIONAL PRESCRIPTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK C ROSS MD (COO)
(888) 317-0851
Entity
Organization
Contact information
Practice address
2107 N DECATUR RD STE 190, DECATUR, GA 30033-5305
(888) 317-0851
(888) 317-0851
Mailing address
2107 N DECATUR RD SUITE 190, DECATUR, GA 30033
(888) 317-0851
(888) 317-0851
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
NBNA09810
GA
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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