Individual
MRS. AUDREY DENISE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5760 JONES MILL RD, WOODBURY, GA 30293-2101
(904) 422-1562
Mailing address
5760 JONES MILL RD, WOODBURY, GA 30293-2101
(904) 422-1562
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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