Individual
MARY KNOX CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
517 S SHARON AMITY RD, CHARLOTTE, NC 28211-2975
(704) 384-8800
(704) 384-8819
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-8800
(704) 384-8819
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201000522
NC
390200000X
Student in an Organized Health Care Education/Training Program
141838
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915153
—
NC
05
—
NC1350
—
SC
Enumeration date
06/14/2007
Last updated
07/26/2023
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