Individual
ROSS A KOMMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 CANTON RD NE STE 300, MARIETTA, GA 30060
(678) 741-5000
(678) 819-4280
Mailing address
711 CANTON RD NE STE 300, MARIETTA, GA 30060-8949
(678) 741-5000
(678) 819-4280
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
030122
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000355891F
—
GA
01
—
511I100034
PTAN
GA
Enumeration date
12/12/2005
Last updated
05/31/2018
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