NPI 1144015017
Autumn Ross, CPNP
Practice location
- Address
- 1810 Mulkey Rd, Austell, GA 30106-1151
- Phone
- (770) 819-9262
- Mailing address
- 400 W Peachtree St NW Unit 807, Atlanta, GA 30308-3545
Registered specialties
Pediatrics Physician
Primary
Registry record
- NPI
- 1144015017
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Apr 2025
- Record last updated
- 11 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.