Ferris, Charles Conn

Ferris, Charles Conn is an individual health care provider with primary practice located at 1934 E Montgomery Xrd , Savannah GA 31406-5037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ferris, Charles Conn can be contacted via phone (912) 355-8200.

Contact Information

Primary practice address
1934 E Montgomery Xrd Savannah GA 31406-5037
Phone: (912) 355-8200
Fax: (912) 356-6967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 030060 Georgia

Profile Details

NPI number 1720081516
LBN Legal business name Ferris, Charles Conn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Nov 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720081516 NPPES
Georgia Other 046139 BLUE CROSS BLUE SHIELD
Georgia MEDICAID 00369795B BLUE CROSS BLUE SHIELD
Georgia Other 300033932 BLUE CROSS BLUE SHIELD

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