Doctor Name: | MR. HARRY GILES CROSS |
NPI Number: | 1184690885 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 101139 |
Business Practice Address: | 26 Pinecrest Plz Pmb 161 Southern Pines, NC - 283874301 |
Business Phone Number: | 9106908000 |
Business Fax Number: | |
Mailing Address: | 104 Dickerson Dr, 5615 Slw WEST END |
State: | NC |
Postal Code: | 27376 |
Phone Number: | 9106732557 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 101139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |