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Individual

DR. CHARLES CONN FERRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1934 E MONTGOMERY XRD, SAVANNAH, GA 31406-5037
(912) 355-8200
(912) 356-6967
Mailing address
PO BOX 14416, SAVANNAH, GA 31416-1416
(912) 355-8200
(912) 356-6967

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
030060
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00369795B
GA
01
046139
BLUE CROSS BLUE SHIELD
GA
01
300033932
RR MEDICARE
SC
Enumeration date
05/24/2005
Last updated
11/13/2012
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