Organization
SURGICAL SPECIALTIES, PSC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY GLENN CROSS M.D. (OWNER)
(606) 387-3000
Entity
Organization
Contact information
Practice address
250 BURKESVILLE RD, ALBANY, KY 42602-1604
(606) 387-3000
(606) 387-3307
Mailing address
250 BURKESVILLE RD, ALBANY, KY 42602-1604
(606) 387-3000
(606) 387-3307
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33185
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64033525
—
KY
Enumeration date
01/12/2007
Last updated
08/22/2020
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