# NORTHCROSS MEDICAL CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215911169
- **Authorized official:** MARK TUAN LE MD (PRESIDENT)
- **Authorized official phone:** (704) 896-3313

## Contact information

- **Practice address:** 16511 A NORTHCROSS DR, HUNTERSVILLE, NC 28078-5021
- **Practice address phone:** (704) 896-3313
- **Practice address fax:** (704) 896-8193
- **Mailing address:** 17705 SPRING WINDS DR, CORNELIUS, NC 28031-7744
- **Mailing address phone:** (704) 896-3313
- **Mailing address fax:** (704) 896-8193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89015FY | — | NC |