Organization
JOHN R. ROSS, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA B LYONS (OFFICE MANAGER)
(803) 533-7544
Entity
Organization
Contact information
Practice address
795 COOK RD, ORANGEBURG, SC 29118-2127
(803) 533-7544
(803) 533-7545
Mailing address
795 COOK RD, ORANGEBURG, SC 29118-2127
(803) 533-7544
(803) 533-7545
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7709
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077099
—
SC
Enumeration date
01/24/2007
Last updated
10/04/2011
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