IndividualActive
Charles Ross, IDMT
NPI 1699919795 · Independent Duty Medical Technicians · Fayetteville, NC
Provider details
- NPI number
- 1699919795
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
5809 Ivanhoe Ct Apt 18
Fayetteville, NC 28314-4461
Phone: (253) 381-7108
Approximate (ZIP-level) locationGet directions
Mailing address
5809 Ivanhoe Ct Apt 18
Fayetteville, NC 28314-4461
Registry dates
- Enumerated
- 2009-04-21
- Last updated
- 2009-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.