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CROSS CREEK NEUROLOGY PLLC NPI 1124184247


NPI Information

NPI: 1124184247
Provider Name: CROSS CREEK NEUROLOGY PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
518 BEAUMONT RD
SUITE 101
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 487-5574
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CROSS CREEK NEUROLOGY PLLC is a neurology psychiatry neurology in Fayetteville, NC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CROSS CREEK NEUROLOGY PLLC NPI is 1124184247. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

518 BEAUMONT RD
SUITE 101
FAYETTEVILLE, NC
ZIP 28304-447
Phone: (910) 487-5574
Fax: (910) 487-5542

The provider's authorized official is Muhammed Amir Khasru .
The authorized official title is Owner and has the following contact phone number (910) 487-5574.

The enumeration date for this NPI number is 1/1/2007 and was last updated on 9/24/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12349178MEDICARE PIN
2891297AMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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