Individual
DR. TRENT WADE CROSS
Active
Individual
DR. TRENT WADE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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