Individual
DR. RUSSELL A ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 MOUNTAIN VIEW RD, WILLIAMSTON, SC 29697-9601
(864) 225-0313
Mailing address
520 MOUNTAIN VIEW RD, WILLIAMSTON, SC 29697-9601
(864) 225-0313
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19015
SC
207Q00000X
Family Medicine Physician
Primary
19015
SC
Other
Enumeration date
03/29/2006
Last updated
01/23/2020
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