Organization
NORTHCROSS MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TUAN LE MD (PRESIDENT)
(704) 896-3313
Entity
Organization
Contact information
Practice address
16511 A NORTHCROSS DR, HUNTERSVILLE, NC 28078-5021
(704) 896-3313
(704) 896-8193
Mailing address
17705 SPRING WINDS DR, CORNELIUS, NC 28031-7744
(704) 896-3313
(704) 896-8193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015FY
—
NC
Enumeration date
12/05/2005
Last updated
08/22/2020
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