Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles J Ross, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1699919795

Charles J Ross, IDMT is an Independent Duty Medical Technicians in Fayetteville, North Carolina. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

5809 Ivanhoe Ct Apt 18
Fayetteville, NC 28314-4461
Phone: (253) 381-7108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1699919795
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedApril 21, 2009
Last updated in NPPESApril 21, 2009

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