Individual
MR. TRAVIS SANDERS ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3622 N MAIN ST, HOPE MILLS, NC 28348-1937
(910) 423-7771
(910) 423-4177
Mailing address
3622 N MAIN ST, HOPE MILLS, NC 28348-1937
(910) 423-7771
(910) 423-4177
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001000298
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012YE
—
NC
Enumeration date
04/26/2006
Last updated
06/10/2024
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