Healthcare Provider Details

I. General information

NPI: 1447053558
Provider Name (Legal Business Name): CINNAMIN CHRISTINA CROSS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 MADISON AVE STE 447
MEMPHIS TN
38103-3438
US

IV. Provider business mailing address

6027 WALNUT GROVE RD STE 405
MEMPHIS TN
38120-2129
US

V. Phone/Fax

Practice location:
  • Phone: 901-448-3197
  • Fax:
Mailing address:
  • Phone: 901-226-3814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: