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Individual

CAROLYN MEIGHAN ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-7331
(919) 350-9808
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0010-09289
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-09289
NC

Other

Enumeration date
12/04/2018
Last updated
01/20/2021
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