Gross, Deborah Virginia

Gross, Deborah Virginia is an sole proprietor health care provider with primary practice located at 1200 N State St Ste 450 , Jackson MS 39202-2000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Gross, Deborah Virginia can be contacted via phone (601) 957-7343.

Contact Information

Primary practice address
1200 N State St Ste 450 Jackson MS 39202-2000
Phone: (601) 957-7343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 14099 Mississippi
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 14099 Mississippi

Profile Details

NPI number 1982717997
LBN Legal business name Gross, Deborah Virginia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Jan 12th, 2024 - about 10 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982717997 NPPES
Alabama MEDICAID 009987395
Alabama MEDICAID 611212800
Alabama MEDICAID 00114296

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