Provider Demographics
NPI:1528252186
Name:SPIRES, ROSS (DO)
Entity type:Individual
Prefix:DR
First Name:ROSS
Middle Name:
Last Name:SPIRES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:249 MIDWAY MEDICAL PARK STE 101
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-1700
Mailing Address - Country:US
Mailing Address - Phone:423-968-3033
Mailing Address - Fax:423-968-3789
Practice Address - Street 1:75 BAYLOR DR STE 200
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-8965
Practice Address - Country:US
Practice Address - Phone:843-548-5857
Practice Address - Fax:843-524-5655
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC51934207V00000X
TN2131207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology