Charles B Gross, | |
320 E Lee Ave, Yadkinville, NC 27055-8132 | |
(336) 679-8805 | |
Not Available |
Full Name | Charles B Gross |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 320 E Lee Ave, Yadkinville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023607207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | A15546 (North Carolina) | Primary |
Entity Name | Carolina Therapeutic Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720247570 PECOS PAC ID: 1052658861 Enrollment ID: O20190131001368 |
Mailing Address | Practice Location Address |
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Charles B Gross, 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100 | Charles B Gross, 320 E Lee Ave, Yadkinville, NC 27055-8132 Ph: (336) 679-8805 |
Cynthia Brown Stiltner, NCC, LCAS-A, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 336-679-8805 Fax: 336-679-3057 | |
Susan L Sawyers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 Phone: 336-679-6719 Fax: 336-679-6723 | |
Jerrold Max Evington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 336-679-8805 Fax: 336-679-3057 | |
Cleveland Nathaniel Cockerham Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 704-939-1100 | |
Ms. Wanda J Burger, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 W Main St # 400, Yadkinville, NC 27055 Phone: 336-849-7975 Fax: 336-849-7767 | |
Christopher Stewart Sapp, LCMHCA, LCAS, CSI Counselor Medicare: Medicare Enrolled Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 336-679-8805 |