Ross, Charles B.
Ross, Charles B. is an individual health care provider with primary practice located at 95 Collier Road Suite 5015, Atlanta GA 30309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Ross, Charles B. can be contacted via phone (404) 605-5699.Contact Information
Primary practice address
95 Collier Road Suite 5015
Atlanta GA 30309
Phone: (404) 605-5699
Fax: (404) 355-4235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 24250 | Kentucky |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 01066838A | Indiana |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 068549 | Georgia |
Profile Details
| NPI number | 1326044330 |
|---|---|
| LBN Legal business name | Ross, Charles B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Dec 10th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326044330 | NPPES |
| Georgia | MEDICAID | 003129136C |
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