Individual
DR. NICOLE EVANS ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2131 PACE ST, COVINGTON, GA 30014-6652
(678) 671-6228
(678) 935-3343
Mailing address
PO BOX 1075, COVINGTON, GA 30015-1075
(678) 671-6228
(678) 935-3343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
043038
GA
Other
Enumeration date
07/27/2006
Last updated
02/28/2013
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