Gross, Alexander S
Gross, Alexander S is an sole proprietor health care provider with primary practice located at 1505 Northside Blvd Suite 1500, Cumming GA 30041-7623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Gross, Alexander S can be contacted via phone (770) 781-5077.Contact Information
Primary practice address
1505 Northside Blvd Suite 1500
Cumming GA 30041-7623
Phone: (770) 781-5077
Fax: (770) 781-3915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 030078 | Georgia |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 030078 | Georgia |
Profile Details
| NPI number | 1306826490 |
|---|---|
| LBN Legal business name | Gross, Alexander S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jun 17th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306826490 | NPPES |
| Georgia | Other | GRP6141 | MEDICARE ID-TYPE UNSPECIFIED |
| Georgia | MEDICAID | 000509858D | MEDICARE ID-TYPE UNSPECIFIED |
| Georgia | Other | 070015702 | MEDICARE ID-TYPE UNSPECIFIED |
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