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Organization

CROSSROADS PEDIATRIC ACUTE CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANA CASON MD (CEO)
(706) 507-4995
Entity
Organization

Contact information

Practice address
7901 VETERANS PKWY, COLUMBUS, GA 31909-1723
(706) 507-4995
(706) 507-4998
Mailing address
7901 VETERANS PKWY, COLUMBUS, GA 31909-1723
(706) 507-4995
(706) 507-4998

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
039302
LICENSE
GA
Enumeration date
08/20/2018
Last updated
04/08/2019
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