Individual
DR. RAY THOMAS ROSS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
199 MOUNTAIN DR, SUITE 202, DAHLONEGA, GA 30533-1607
(706) 864-7272
(706) 864-7080
Mailing address
199 MOUNTAIN DR, SUITE 202, DAHLONEGA, GA 30533-1607
(706) 864-7272
(706) 864-7080
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
043118 GA
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10050810
AMERIGROUP
GA
01
—
325964
WELLCARE
GA
01
—
52876062003
BC/BS
GA
01
—
P0061193
RAILROAD
GA
Enumeration date
10/25/2006
Last updated
07/08/2007
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