Individual
GREGORY ALLEN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
200300877
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10029384
—
VA
01
—
134VT
BCBS
—
05
—
2005894000
—
WV
01
—
7959613
AETNA
—
01
—
803105
PARTNERS
—
05
—
89134VT
—
NC
01
—
C7307
MEDCOST
—
01
—
P00039818
RR MEDICARE
—
Enumeration date
12/13/2005
Last updated
08/19/2010
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