Individual
MS. VALDOR WENDELL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 329-2201
Mailing address
575 ROCKBOROUGH DR, STONE MOUNTAIN, GA 30083-3851
(770) 498-7029
(770) 879-9756
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN103133
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN103133
REGISTERED NURSE
GA
Enumeration date
06/28/2006
Last updated
07/08/2007
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