Individual
JOSEPH PAUL ROSS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E WOOD ST, SUITE 202, SPARTANBURG, SC 29303-3004
(864) 560-7070
(864) 560-7073
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18710
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187103
—
SC
01
—
5152703
AETNA
SC
05
—
690562V
—
NC
01
—
88350
MEDCOST
SC
01
—
G870807628
MEDICARE PIN
SC
Enumeration date
04/13/2006
Last updated
12/14/2020
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