| Dr Ray Thomas Ross Jr, MD | |
|
199 Mountain Dr, Suite 202, Dahlonega, GA 30533-1607 | |
| (706) 864-7272 | |
| (706) 864-7080 |
| Full Name | Dr Ray Thomas Ross Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 199 Mountain Dr, Dahlonega, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508940651 | NPI | - | NPPES |
| P0061193 | Other | GA | RAILROAD |
| 52876062003 | Other | GA | BC/BS |
| 325964 | Other | GA | WELLCARE |
| 10050810 | Other | GA | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 043118 GA (Georgia) | Primary |
| Entity Name | Mayo Clinic Health System In Waycross, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154745982 PECOS PAC ID: 0042124919 Enrollment ID: O20040308000639 |
| Entity Name | Southland Emergency Medical Services Consolidated, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ray Thomas Ross Jr, MD 199 Mountain Dr, Suite 202, Dahlonega, GA 30533-1607 Ph: (706) 864-7272 | Dr Ray Thomas Ross Jr, MD 199 Mountain Dr, Suite 202, Dahlonega, GA 30533-1607 Ph: (706) 864-7272 |
Patrick A Conarro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 64 Mountain Dr, Dahlonega, GA 30533 Phone: 706-864-6196 | |
Benjamin G Allen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 134 Ansley Dr, Suite 400, Dahlonega, GA 30533 Phone: 706-864-5934 Fax: 706-864-4912 |