Organization
CROSSROADS MEDICAL GROUP, PLLC
Active
Other names
Crossroads Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E. FERGUSON (EXECUTIVE DIRECTOR)
(615) 672-7122
Entity
Organization
Contact information
Practice address
491 SAGE RD., SUITE 200, WHITE HOUSE, TN 37188-8193
(615) 672-7122
(615) 672-8122
Mailing address
PO BOX 1669, WHITE HOUSE, TN 37188-1669
(615) 672-5177
(615) 672-5366
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
01/30/2008
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