Individual
KENDRICK N CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1213 ALLENE AVE SW APT 107, ATLANTA, GA 30310-4200
(678) 561-7638
Mailing address
1213 ALLENE AVE SW APT 107, ATLANTA, GA 30310-4200
(678) 561-7638
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PHCP011605
GA
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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