Provider Demographics
NPI:1487702080
Name:CROSS, CINDY DANETTE
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:DANETTE
Last Name:CROSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 MOUNT PLEASANT CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:STATE ROAD
Mailing Address - State:NC
Mailing Address - Zip Code:28676-9521
Mailing Address - Country:US
Mailing Address - Phone:336-874-7046
Mailing Address - Fax:
Practice Address - Street 1:910 C ST
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-4145
Practice Address - Country:US
Practice Address - Phone:336-667-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist