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Individual

VERNON HORACE ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36589
NC
207LA0401X
Addiction Medicine (Anesthesiology) Physician
36589
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
36589
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810001339
WV
01
43988
PARTNERS
01
50086396
RR MEDICARE
05
5719143
VA
01
7640334
AETNA
05
89134VT
NC
01
B1083
MEDCOST
Enumeration date
12/13/2005
Last updated
09/08/2017
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