Organization
CROSS CREEK MEDICAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NITIN DAHYABHAI DESAI MD (PRESIDENT)
(910) 437-5130
Entity
Organization
Contact information
Practice address
1309 MEDICAL DR, SUITE 1, FAYETTEVILLE, NC 28304-4425
(910) 437-5130
(910) 437-5130
Mailing address
1309 MEDICAL DR, SUITE 1, FAYETTEVILLE, NC 28304-4425
(910) 437-5130
(910) 437-5130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9600078
NC
Other
Enumeration date
05/17/2006
Last updated
12/13/2007
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