Individual
JANICE E. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2669 KINARD ST, NEWBERRY, SC 29108-2911
(803) 276-7570
Mailing address
PO BOX 49009, GREENWOOD, SC 29649-0001
(864) 223-3070
(864) 223-1396
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
19894
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19894
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0646715
GA MEDICAL LICENSE#
GA
01
—
116600
NY MEDICAL LICENSE#
NY
01
—
19894
SC MEDICAL LICENSE#
SC
05
—
198949
—
SC
Enumeration date
04/14/2006
Last updated
03/07/2023
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