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Contact Information

ROSS M FASANO, MD
80 JESSE HILL JR DR SE
ATLANTA, GA30303
 Phone: 404-778-1300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ROSS M FASANO · (Male)

NPI # 1790951325
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2008
Last updated 08/24/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • DC License # MD036088
  • GA License # 072580
Hospital affiliation(s)
  • GRADY MEMORIAL HOSPITAL - (Acute Care)
    80 JESSE HILL, JR DRIVE SE
    ATLANTA, GA 30303
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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