Audrey Denise Ross
Individual provider Active NPI Case Manager/Care Coordinator · Woodbury, GA
NPI 1972737633 · NPPES record last updated May 11, 2009
Key facts
- NPI
- 1972737633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 5760 Jones Mill Rd
Woodbury, GA 30293-2101 - Phone
- (904) 422-1562
- NPI assigned
- May 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
5760 Jones Mill Rd
Woodbury, GA 30293-2101
Mailing address
5760 Jones Mill Rd
Woodbury, GA 30293-2101
Phone (904) 422-1562
Other providers in Woodbury, GA
- Amanda Hardnett
- Kirsten Mallory
- Meriwether Healthcare, L.L.C.
- Merwiether Co Health Department
- Janssen Owens
- Southwest Medical Clinic, Inc
- U Save It Pharmacy Inc
- U Save It Pharmacy Inc
- Hillary Vickery
- Michelle S Womble Custer
All providers in Woodbury, GA · Case Manager/Care Coordinator in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.