# CROSS MEDICAL PRIMARY CARE

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

## Provider details

- **NPI number:** 1366979098
- **Authorized official:** TERMARIA JACKSON (PRACTICE MANAGER)
- **Authorized official phone:** (901) 671-7856

## Contact information

- **Practice address:** 6222 E. SHELBY DRIVE, MEMPHIS, TN 38141
- **Practice address phone:** (901) 671-7856
- **Mailing address:** 7345 GEORGE LANE, HORN LAKE, MS 38637
- **Mailing address phone:** (901) 671-7856

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2017
- **Last updated:** 05/12/2017