Individual
DR. DONNIE MARTIN CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1102 W JEFFERSON ST, QUINCY, FL 32351-2212
(850) 875-1747
Mailing address
500 FOREST DR, QUINCY, FL 32351-1660
(850) 627-1005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 0007109
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH 0007109
LICENSE-STATE BOARD CHIR
FL
Enumeration date
08/04/2006
Last updated
07/08/2007
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