Individual
EARL GEORGE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3610 MEDICAL PARK COURT, MOREHEAD CITY, NC 28557
(252) 808-3376
(252) 808-2095
Mailing address
PO BOX 1151, MOREHEAD CITY, NC 28557-1151
(252) 222-4533
(252) 808-2095
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
99-00855
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235Y
BLUE CROSS OF NC
NC
05
—
891235Y
—
NC
Enumeration date
01/23/2007
Last updated
07/08/2007
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