Individual
LANCE R CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2469 HERITAGE VLG, SUITE 14, SNELLVILLE, GA 30078-6140
(770) 979-1642
(770) 979-0395
Mailing address
3345 WATSON GATE RD, LOGANVILLE, GA 30052-6210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/28/2006
Last updated
09/12/2007
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