Individual
LEE CHRISTOPHER ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
526 NORTH ST, BAMBERG, SC 29003-1319
(803) 245-2433
Mailing address
3339 CROWELL LN, MOUNT PLEASANT, SC 29466-7618
(843) 813-2118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21001
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5207
—
SC
01
—
SCC955
MEDICARE
SC
Enumeration date
10/25/2017
Last updated
12/27/2018
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