Individual
PHILLIP R NORTHCROSS
Active
Individual
PHILLIP R NORTHCROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.C.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD017326
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3020931
—
TN
01
—
3061799
BCBST
TN
Enumeration date
03/01/2006
Last updated
06/17/2016
Update your record
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