Individual
MS. INDIA A CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2134 CAPERNIUM RD TRLR 2, TR#2, CHERRYVILLE, NC 28021-9404
(704) 769-4075
(704) 769-4136
Mailing address
2134 CAPERNIUM RD TRLR 2, TR#2, CHERRYVILLE, NC 28021-9404
(704) 769-4075
(704) 769-4136
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
NC
Enumeration date
04/15/2015
Last updated
04/24/2015
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