Crossroads Clinic Pllc

NPI #1043662687 in Ooltewah, Tennessee

Provider Information

NPI Number
1043662687
Entity Type
Organization
Organization Name
Crossroads Clinic Pllc
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Jul 7, 2016
Last Updated
Jul 7, 2016

Practice Location

Address
1667 OOLTEWAH RINGGOLD RD
Address 2
SUITE 111
ZIP Code
37363-9830
Phone
(423) 825-4881

Authorized Official

Name
MRS. SUSAN VERGOT, MD
Title
OWNER
Phone
(423) 902-0681

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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