Individual
DR. CHARLES M GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 PHYSICIAN DRIVE, CLYDE, NC 28721-8486
(828) 564-9222
(828) 564-9228
Mailing address
32 PHYSICIAN DR, CLYDE, NC 28721-8486
(828) 564-9222
(828) 564-9200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200200031
NC
207RC0000X
Cardiovascular Disease Physician
Primary
200200031
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89130MM
—
NC
Enumeration date
04/25/2006
Last updated
07/16/2013
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