Individual
SAMANTHA CLARK ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1005 W MARKET ST, SUITE 7, ATHENS, AL 35611-2454
(256) 262-6680
(256) 262-6765
Mailing address
1005 W MARKET ST, SUITE 7, ATHENS, AL 35611-2454
(256) 262-6680
(256) 262-6765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29155
AL
Other
Enumeration date
06/07/2007
Last updated
05/18/2016
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