Organization
CROSS CREEK NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMED AMIR KHASRU MD (OWNER)
(910) 487-5574
Entity
Organization
Contact information
Practice address
518 BEAUMONT RD, SUITE 101, FAYETTEVILLE, NC 28304-4447
(910) 487-5574
(910) 487-5542
Mailing address
3533 TURNBERRY CIRCLE, FAYETTEVILLE, NC 28303-4665
(910) 487-5574
(910) 487-5574
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891297A
—
NC
Enumeration date
01/01/2007
Last updated
09/24/2013
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