Individual
DR. CHARLES ALBERT ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3706 MERCER UNIVERSITY DRIVE, SUITE 7 MISSION SQUARE, MACON, GA 31204
(478) 474-2557
(478) 474-3120
Mailing address
3706 MERCER UNIVERSITY DRIVE, SUITE 7 MISSION SQUARE, MACON, GA 31204
(478) 474-2557
(478) 474-3120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8800
GA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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