Individual
DR. JEFFREY LOUIS GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 353-4500
Mailing address
128 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24008
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37737
BLUE CROSS BLUE SHIELD
NC
05
—
8937737
—
NC
Enumeration date
06/16/2006
Last updated
10/11/2012
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