Organization
CROSS CREEK URGENT CARE AND FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN MARTIN STANLEY SR. PA C (PRESIDENT)
(910) 221-2200
Entity
Organization
Contact information
Practice address
726 RAMSEY ST, SUITE 8, FAYETTEVILLE, NC 28301-4705
(910) 221-2200
(910) 221-2201
Mailing address
726 RAMSEY ST, SUITE 8, FAYETTEVILLE, NC 28301-4705
(910) 221-2200
(910) 221-2201
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015KH
—
NC
Enumeration date
05/01/2006
Last updated
08/22/2020
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