| Cross & Crown Regenerative Care Pllc | |
|
2810 Bragg Blvd Ste B Fayetteville NC 28303-4148 | |
| (910) 920-2012 | |
| Not Available |
| Full Name | Cross & Crown Regenerative Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2810 Bragg Blvd Ste B, Fayetteville, North Carolina |
| Authorized Official Name and Position | Pamela Harris (CLINIC OWNER) |
| Authorized Official Contact | 9109202012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross & Crown Regenerative Care Pllc 2810 Bragg Blvd Ste B Fayetteville NC 28303-4148 Ph: () - | Cross & Crown Regenerative Care Pllc 2810 Bragg Blvd Ste B Fayetteville NC 28303-4148 Ph: (910) 920-2012 |
| NPI Number | 1083426423 |
|---|---|
| Provider Enumeration Date | 01/23/2025 |
| Last Update Date | 03/21/2025 |
| Medicare PECOS PAC ID | 5496279481 |
|---|---|
| Medicare Enrollment ID | O20250411001266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083426423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | David R Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376547356 PECOS PAC ID: 7416920111 Enrollment ID: I20040819000213 |
| Provider Name | Pamela Lin Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568626133 PECOS PAC ID: 8224198932 Enrollment ID: I20130911000894 |
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