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Individual

DR. THEA CROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
220 FORT SANDERS WEST BLVD STE 300, KNOXVILLE, TN 37922
(865) 531-5350
(865) 374-2125
Mailing address
220 FORT SANDERS WEST BLVD STE 300, KNOXVILLE, TN 37922-3394
(865) 531-5350
(865) 374-2125

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
37389
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3885091
MEDICARE
TN
05
Q018071
TN
Enumeration date
02/09/2006
Last updated
02/07/2023
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