Individual
SCOTT A ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 62ND AVE N, STE A, MYRTLE BEACH, SC 29572-2957
(843) 839-0957
(843) 839-0758
Mailing address
300 SINGLETON RIDGE RD, ATTN PNS CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101053663
VA
207Q00000X
Family Medicine Physician
Primary
83593
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5632986
—
VA
05
—
835939
—
SC
Enumeration date
07/28/2005
Last updated
03/09/2026
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