Individual
MR. J ROSS THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
660 S EUCLID AVE, C B 8054, SAINT LOUIS, MO 63110-1010
(314) 362-6973
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101302
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
22401
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912717006
—
MO
05
—
AN2851
—
SC
05
—
ENROLLED
—
IL
Enumeration date
07/18/2006
Last updated
03/24/2022
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