Individual
GREGG ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3795 BUFORD DR, BUFORD, GA 30519-4906
(770) 271-9807
Mailing address
PO BOX 609, GRAYSON, GA 30017-0011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH019649
GA
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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