Individual
DR. TOM A GROSS
Active
Individual
DR. TOM A GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
NC2118
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0847B
NC STATE HEALTH PLAN
NC
05
—
890847B
—
NC
Enumeration date
06/15/2006
Last updated
12/10/2007
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