| Doctor Name: | DR. CONNIE GENE ROSS |
| NPI Number: | 1346315959 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 12833 |
| Business Practice Address: | 590 S Trade St Tryon, NC - 287823714 |
| Business Phone Number: | 8288590420 |
| Business Fax Number: | 8288590422 |
| Mailing Address: | Po Box 1521, RUTHERFORDTON |
| State: | NC |
| Postal Code: | 281398392 |
| Phone Number: | 8282875867 |
| Fax Number: | 8288590422 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12833 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |