Individual
CHARLES B. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 COLLIER ROAD, SUITE 5015, ATLANTA, GA 30309
(404) 605-5699
(404) 355-4235
Mailing address
95 COLLIER ROAD, SUITE 5015, ATLANTA, GA 30309
(404) 605-5699
(404) 355-4235
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
01066838A
IN
2086S0129X
Vascular Surgery Physician
Primary
068549
GA
2086S0129X
Vascular Surgery Physician
24250
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129136C
—
GA
Enumeration date
06/23/2005
Last updated
12/10/2012
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