Organization
CROSSROADS PSYCHIATRIC GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAREY GORDON COTTLE JR. M.D. (PRESIDENT)
(336) 292-1510
Entity
Organization
Contact information
Practice address
600 GREEN VALLEY RD, SUITE 204, GREENSBORO, NC 27408-7722
(336) 292-1510
(336) 292-0679
Mailing address
600 GREEN VALLEY RD, SUITE 204, GREENSBORO, NC 27408-7722
(336) 292-1510
(336) 292-0679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790270W
—
NC
Enumeration date
12/12/2006
Last updated
09/11/2025
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