Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 125056981 | IL |
N | 207X00000X | Orthopaedic Surgeon | 38404 | SC |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 38404 | SC |
NPI | 1902034283 |
---|---|
Provider Name | Dr. Christopher Edward Gross |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2009 |
Last Update Date | 01/07/2016 |