Organization
CROSSWAY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK D HYDRICK II NP (PROVIDER/OWNER)
(615) 895-3600
Entity
Organization
Contact information
Practice address
2910 SOUTH CHURCH STREET, SUITE A, MURFREESBORO, TN 37127-7149
(615) 895-3600
(615) 895-0024
Mailing address
2910 SOUTH CHURCH STREET, SUITE A, MURFREESBORO, TN 37127-7149
(615) 895-3600
(615) 895-0024
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
34250
TN
208D00000X
General Practice Physician
—
—
363LF0000X
Family Nurse Practitioner
7765
TN
363LF0000X
Family Nurse Practitioner
APN15544
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891742904
NPI
TN
Enumeration date
10/20/2011
Last updated
04/24/2013
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