Gross, Charles M

Gross, Charles M is an individual health care provider with primary practice located at 32 Physician Drive , Clyde NC 28721-8486. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Gross, Charles M can be contacted via phone (828) 564-9222.

Contact Information

Primary practice address
32 Physician Drive Clyde NC 28721-8486
Phone: (828) 564-9222
Fax: (828) 564-9228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 200200031 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 200200031 North Carolina

Profile Details

NPI number 1174589485
LBN Legal business name Gross, Charles M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 16th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174589485 NPPES
North Carolina MEDICAID 89130MM

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