Melea A Ross, AT
Specialist/Technologist, Athletic Trainer in Dothan, AL. Individual provider (NPI-1).
NPI number1629317243
StatusActive
Last updated in NPPESFeb 1, 2013
Details
- NPI
- 1629317243
- Entity type
- Individual (NPI-1)
- Name
- Melea A Ross
- Credential
- AT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2013
- Last updated
- Feb 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1262 | AL | Yes |
Practice location
1500 Ross Clark CirDothan, AL 36301-4754
Phone 334-793-2663 · Fax 334-836-2248
Mailing address
Po Box 729Dothan, AL 36302-0729
Phone 334-793-2663 · Fax 334-836-2248
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