Jerry Lee Gross is a Podiatrist in Forest City, North Carolina. Jerry Lee Gross practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jerry Lee Gross is 1134149628. The last update date is 2008-04-02.
Jerry Lee Gross's current location address is 247 Shiloh Rd, Forest City, North Carolina. You can contact this provider via phone number 8282456405 and fax number 8282453923. The mailing address for Jerry Lee Gross is 247 Shiloh Rd, Forest City, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lee Gross |
|---|---|
| Address | 247 Shiloh Rd, Forest City, North Carolina |
| Phone Number | 8282456405 |
| Fax Number | 8282453923 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1134149628 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2008-04-02 |
Provider Mailing Address Detail
| Address | 247 Shiloh Rd |
|---|---|
| City | Forest City |
| State | North Carolina (NC) |
| Post Code | 280436958 |
| Phone Number | 8282456405 |
| Fax Number | 8282453923 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 422 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 790800J | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry Lee Gross by the Centers for Medicare & Medicaid Services?
The Jerry Lee Gross has been assigned the NPI (National Provider Identifier) 1134149628. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jerry Lee Gross?
The Jerry Lee Gross is situated at 247 Shiloh Rd, in the city of Forest City, state of NC, with the zip code 280436958.
What is Jerry Lee Gross's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry Lee Gross is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134149628 to Jerry Lee Gross?
The Centers for Medicare & Medicaid Services assigned the 1134149628 to Jerry Lee Gross on 2006-07-20.
When was the information regarding Jerry Lee Gross, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerry Lee Gross, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-02.
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