Individual
STEPHANIE GALE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10630 CLEMSON BLVD STE 100, SENECA, SC 29678-4545
(864) 482-6000
(864) 482-7000
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.005773RX
OH
363AS0400X
Surgical Physician Assistant
Primary
6130
SC
Other
Enumeration date
03/20/2019
Last updated
01/12/2026
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