Ross, Scott A

Ross, Scott A is an individual health care provider with primary practice located at 5010 Carolina Forest Blvd , Myrtle Beach SC 29579-3579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ross, Scott A can be contacted via phone (843) 236-2700.

Contact Information

Primary practice address
5010 Carolina Forest Blvd Myrtle Beach SC 29579-3579
Phone: (843) 236-2700
Fax: (843) 236-2726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101053663 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 83593 South Carolina

Profile Details

NPI number 1841290129
LBN Legal business name Ross, Scott A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Mar 26th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841290129 NPPES
Virginia MEDICAID 1841290129
Virginia MEDICAID 5632986

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