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Individual

DR. DEANNA YOLANDA ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4181 HOSPITAL DR NE, SUITE 401, COVINGTON, GA 30014-2541
(770) 787-4700
(770) 784-0435
Mailing address
4181 HOSPITAL DR NE, SUITE 401, COVINGTON, GA 30014-2565
(770) 787-4700
(770) 784-0435

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TL001948
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
422862843B
GA
Enumeration date
09/06/2007
Last updated
07/14/2010
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