Organization
TWC MED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRENT WADE CROSS M.D. (PRESIDENT)
(423) 286-3628
Entity
Organization
Contact information
Practice address
2015 SMITH CREEK RD, ONEIDA, TN 37841-7448
(423) 286-3628
Mailing address
PO BOX 5462, ONEIDA, TN 37841-1062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/16/2012
Last updated
09/05/2014
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