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NPI Code Detail

MEDICARE: CHRISTINE GROSS M.D., PH.D.

MEDICARE: CHRISTINE GROSS M.D., PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician89746SC

General Provider Information

NPI Number : 1710447321
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE GROSS M.D., PH.D.
Provider Business Mailing Address
First Line : 955 RIBAUT RD
Second Line :
City : BEAUFORT
State : SC
Zip : 29902-5454
Country : US
Telephone Number :
Fax Number : 318-232-5478
Provider Business Practice Location Address
First Line : 955 RIBAUT RD
Second Line :
City : BEAUFORT
State : SC
Zip : 29902-5454
Country : US
Telephone Number : 843-522-5200
Fax Number : 318-232-5478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2019
Last Update Date : 07/07/2023

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