Provider Demographics
NPI:1891782181
Name:ROSS, APRIL SIMPSON (MSM, PA-C)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:SIMPSON
Last Name:ROSS
Suffix:
Gender:F
Credentials:MSM, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 N FANT ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-4825
Mailing Address - Country:US
Mailing Address - Phone:864-886-2000
Mailing Address - Fax:
Practice Address - Street 1:15575 WELLS HWY
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-1664
Practice Address - Country:US
Practice Address - Phone:864-886-2000
Practice Address - Fax:864-888-3618
Is Sole Proprietor?:No
Enumeration Date:2005-10-01
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC979363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant