Individual
ANGIE N. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE, JONESBORO, GA 30236
(770) 603-3649
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 504-5678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002267
GA
207R00000X
Internal Medicine Physician
Primary
060602
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060602
MEDICAL LICENSE #
—
Enumeration date
01/16/2008
Last updated
04/08/2016
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