# DEBORAH VIRGINIA GROSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1982717997
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 14099 | MS | Yes |
| 2084P0800X | Psychiatry Physician | 14099 | MS | — |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 01/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00114296 | — | MS |
| 05 | — | 009987395 | — | AL |
| 05 | — | 611212800 | — | MS |