| Doctor Name: | LARIANN S ROSS |
| NPI Number: | 1003815523 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-BC |
| License Number: | 079281 |
| Business Practice Address: | 1061 Harmon Ave Dmc/imc Fort Stewart, GA - 313145641 |
| Business Phone Number: | 9124355706 |
| Business Fax Number: | 9124355569 |
| Mailing Address: | 1061 Harmon Ave, Dmc/imc FORT STEWART |
| State: | GA |
| Postal Code: | 313145641 |
| Phone Number: | 9124355706 |
| Fax Number: | 9124355569 |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 09/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 079281 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |