Individual
DR. MARY ELIZABETH ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
64 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-7963
(843) 313-1314
(843) 314-1308
Mailing address
217 HARBOURREEF DR, PAWLEYS ISLAND, SC 29585-5799
(843) 314-9018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 33952
SC
208000000X
Pediatrics Physician
MD 33952
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3598
—
SC
Enumeration date
06/25/2007
Last updated
12/10/2012
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