Individual
MACY L ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
3135 BLUE SKY LOOP, JEFFERSONVILLE, IN 47130-8970
(502) 741-2833
Mailing address
3135 BLUE SKY LOOP, JEFFERSONVILLE, IN 47130-8970
(502) 741-2833
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA335
KY
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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