Organization
ROSSCO LLC
Active
Other names
Live Well MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN HAROLD ROSS (PRACTICE ADMINSTRATOR)
(912) 352-1234
Entity
Organization
Contact information
Practice address
3 JOHNSTON ST, SUITE B, SAVANNAH, GA 31405-5502
(912) 352-1234
Mailing address
3 JOHNSTON ST, SUITE B, SAVANNAH, GA 31405-5502
(912) 352-1234
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
055437
GA
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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