Individual
DR. JERRY LEE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
247 SHILOH RD, FOREST CITY, NC 28043-6958
(828) 245-6405
(828) 245-3923
Mailing address
247 SHILOH RD, FOREST CITY, NC 28043-6958
(828) 245-6405
(828) 245-3923
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
422
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790800J
—
NC
Enumeration date
07/20/2006
Last updated
04/02/2008
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