# CROSSROADS MEDICAL GROUP, PLLC

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

## Provider details

- **NPI number:** 1538965488
- **Authorized official:** JANE HOLDEN (MANAGER)
- **Authorized official phone:** (615) 672-7122

## Contact information

- **Practice address:** 2528 HIGHWAY 49 E STE A, PLEASANT VIEW, TN 37146-7201
- **Practice address phone:** (615) 746-1615
- **Mailing address:** 491 SAGE RD N STE 200, WHITE HOUSE, TN 37188-9361
- **Mailing address phone:** (615) 672-7122
- **Mailing address fax:** (615) 672-7849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2025
- **Last updated:** 02/21/2025