Provider Demographics
NPI:1184690885
Name:CROSS, HARRY GILES (PA-C)
Entity type:Individual
Prefix:MR
First Name:HARRY
Middle Name:GILES
Last Name:CROSS
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2245 STANTONSBURG RD STE A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-2868
Mailing Address - Country:US
Mailing Address - Phone:252-215-9294
Mailing Address - Fax:252-215-9279
Practice Address - Street 1:2245 STANTONSBURG RD STE A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2868
Practice Address - Country:US
Practice Address - Phone:252-215-9294
Practice Address - Fax:252-215-9279
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2021-02-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1184690885OtherNPI