Individual
WHITNEY LITITIA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14402 DAYTON PIKE STE C, SALE CREEK, TN 37373-7823
(423) 498-3560
(423) 498-3563
Mailing address
14402 DAYTON PIKE STE C, SALE CREEK, TN 37373-7823
(423) 498-3560
(423) 498-3563
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2309
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532076
—
TN
Enumeration date
02/27/2013
Last updated
06/11/2019
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