NPI 1124777495
Andre Lamont Ross
Practice location
- Address
- 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0003
- Phone
- (336) 750-3177
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1124777495
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Mar 2022
- Record last updated
- 22 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.