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NPI Code Detail

MEDICARE: DOROTHEE CROSS

MEDICARE: DOROTHEE CROSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF11250191GA

General Provider Information

NPI Number : 1457205684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHEE CROSS
Provider Business Mailing Address
First Line : PO BOX 55
Second Line :
City : COLUMBUS
State : GA
Zip : 31902-0055
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6200 BRADLEY PARK DR
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-3078
Country : US
Telephone Number : 706-593-3134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 03/13/2026

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Directions to “ DOROTHEE CROSS ” Practice Location

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