Individual
DE'VON DEON CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1046 RIDGE AVE SW, ATLANTA, GA 30315-3800
(404) 564-6842
(470) 593-0315
Mailing address
5394 BROOKLANDS DR, LITHONIA, GA 30058-2106
(256) 655-3599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN284642
GA
Other
Enumeration date
09/19/2023
Last updated
09/10/2024
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