Individual
MICHAEL CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 COLONIAL DR, COLUMBIA, SC 29203-6827
(803) 898-8405
Mailing address
2414 BULL ST, COLUMBIA, SC 29201-1906
(803) 935-5809
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21908
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219089
—
SC
Enumeration date
08/08/2006
Last updated
01/08/2018
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