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Contact Information

ALEXANDER S GROSS, MD
1505 NORTHSIDE BLVD
SUITE 1500
CUMMING, GA30041-7623
 Phone: 770-781-5077
 Fax: 770-781-3915
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ALEXANDER S GROSS · (Male)

NPI # 1306826490
Status Active
Credentials MD
Entity Individual
Enumeration date 01/17/2006
Last updated 06/17/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 030078
  • GA Medicaid 000509858D
  • GA Other GRP6141 MEDICARE ID-TYPE UNSPECIFIED
  • GA Other 070015702 RR MEDICARE
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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