Individual
JAY WESTON GROSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HOSPITAL DRIVE, SUITE 9, CLYDE, NC 28721-8046
(828) 452-0331
(828) 456-8726
Mailing address
600 HOSPITAL DR STE 9, CLYDE, NC 28721-8046
(828) 452-0331
(828) 456-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008-00544
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3823902
—
TN
05
—
5909453
—
NC
Enumeration date
04/19/2007
Last updated
09/04/2012
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