Crossroads Medical Group, Pllc
NPI #1073539607 in White House, Tennessee
Provider Information
- NPI Number
- 1073539607
- Entity Type
- Organization
- Organization Name
- Crossroads Medical Group, Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 15, 2006
- Last Updated
- Jan 30, 2008
Practice Location
- Address
- 491 SAGE RD.
- Address 2
- SUITE 200
- City
- White House
- State
- Tennessee
- ZIP Code
- 37188-8193
- Phone
- (615) 672-7122
Authorized Official
- Name
- MR. ROBERT E. FERGUSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (615) 672-7122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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