KANESHA THERESA ROSS

MACON, GA
NPI1215743018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN275028)
Enumeration Date2024-12-06
Last Update Date2024-12-06
Business Address
KANESHA THERESA ROSS PMHNP
175 EMERY HWY
MACON, GA 31217-3692
Phone number: 478-803-7600
Mailing Address
KANESHA THERESA ROSS PMHNP
115 CLASSICA DR
MCDONOUGH, GA 30252-2304
Phone number: