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Contact Information

THOMAS E GROSS, MD
417 E STATESVILLE AVE
MOORESVILLE, NC28115-2590
 Phone: 704-663-3063
 Fax: 704-663-4873
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for THOMAS E GROSS · (Male)

NPI # 1073568283
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2006
Last updated 09/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 00-37838
  • NC Medicaid 8937738
Hospital affiliation(s)
  • LAKE NORMAN REGIONAL MEDICAL CENTER - (Acute Care)
    171 FAIRVIEW ROAD
    MOORESVILLE, NC 28117
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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