Individual
DR. ROBERT MITCHELL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 OLD MILL CIR STE A, WINSTON SALEM, NC 27103-2973
(336) 768-0914
(336) 760-1896
Mailing address
1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
24873
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890126Y
—
NC
05
—
8973372
—
NC
Enumeration date
04/18/2008
Last updated
01/24/2011
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