Search › Tennessee › 163WC1500X
Mary Ross
NPI 1124402698 · on the registry since 2015
Practice
- Address
- 10825 Old Highway 64
Bolivar, TN 38008 - Phone
- (731) 658-5291
- Fax
- (731) 658-6536
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 163WC1500X
163WC1500X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee