Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENETTE HUNTER (LICENSING MANAGER)
(971) 500-2661
Entity
Organization
Contact information
Practice address
750 S PERRY ST FL 2, LAWRENCEVILLE, GA 30046-3233
(971) 500-2661
Mailing address
750 S PERRY ST, LAWRENCEVILLE, GA 30046-3233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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