Individual
BROOK LYNN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1240 EAGLES LANDING PKWY STE 110, STOCKBRIDGE, GA 30281-5173
(770) 389-3855
Mailing address
3333 RIVERWOOD PKWY SE STE 250, ATLANTA, GA 30339-3304
(770) 914-0116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-13447
NC
363A00000X
Physician Assistant
Primary
12578
GA
363AM0700X
Medical Physician Assistant
PA9115415
FL
Other
Enumeration date
01/27/2022
Last updated
10/14/2024
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