Individual
MRS. ROBERT ARCHER ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7 S ALLIANCE DR STE 211B, GOOSE CREEK, SC 29445-7297
(843) 553-4383
(843) 553-4384
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4645
SC
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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