Individual
JON MICHAEL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
139 GRACE DR, EASLEY, SC 29640-9088
(833) 365-7246
Mailing address
201A RICHARD ST, EASLEY, SC 29640-1442
(833) 365-7246
(828) 348-4971
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004056
OH
363A00000X
Physician Assistant
Primary
3408
SC
Other
Enumeration date
05/21/2013
Last updated
04/08/2026
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