Healthcare Provider Details

I. General information

NPI: 1891782181
Provider Name (Legal Business Name): APRIL SIMPSON ROSS MSM, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2005
Last Update Date: 12/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15575 WELLS HWY
SENECA SC
29678-1664
US

IV. Provider business mailing address

1409 N FANT ST
ANDERSON SC
29621-4825
US

V. Phone/Fax

Practice location:
  • Phone: 864-886-2000
  • Fax: 864-888-3618
Mailing address:
  • Phone: 864-886-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number979
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: