Individual
THOMAS EMIL GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
417 E STATESVILLE AVE, MOORESVILLE, NC 28115-2590
(704) 663-3063
(704) 663-4873
Mailing address
417 E STATESVILLE AVE, MOORESVILLE, NC 28115-2590
(704) 663-3063
(704) 663-4873
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
00-37838
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8937738
—
NC
Enumeration date
05/24/2006
Last updated
09/09/2020
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