Individual
DR. TRENT WADE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20405 ALBERTA ST, SUITE A, ONEIDA, TN 37841-3509
(423) 286-3400
(423) 286-3402
Mailing address
PO BOX 4937, ONEIDA, TN 37841-4937
(423) 286-3400
(423) 286-3402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000038983
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4230308
BLUECROSS AND BLUESHIELD
TN
05
—
7100002510
—
KY
01
—
P00733990
MEDICARE RAILROAD
TN
Enumeration date
04/08/2006
Last updated
11/29/2017
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