Provider Demographics
NPI:1750023255
Name:ROSS, PATRICE (CTSS)
Entity Type:Individual
Prefix:MS
First Name:PATRICE
Middle Name:
Last Name:ROSS
Suffix:
Gender:F
Credentials:CTSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 GLYNN AVE STE 11
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-8691
Mailing Address - Country:US
Mailing Address - Phone:912-246-6666
Mailing Address - Fax:
Practice Address - Street 1:1200 GLYNN AVE STE 11
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-8691
Practice Address - Country:US
Practice Address - Phone:912-246-6666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-13
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No175F00000XOther Service ProvidersNaturopath