Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENETTE HUNTER CPCS (SR. MANAGER LICENSING, CREDENTIALIN)
(971) 500-2661
Entity
Organization
Contact information
Practice address
1515 S TRYON ST FL 9, CHARLOTTE, NC 28203-6816
(866) 271-3589
Mailing address
1515 S TRYON ST FL 9, CHARLOTTE, NC 28203-6816
(866) 271-3589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
NON MEDICARE
—
Enumeration date
04/15/2025
Last updated
04/15/2025
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