Provider Demographics
NPI:1578975462
Name:CROSS RIVER CARDIOLOGY PLLC
Entity Type:Organization
Organization Name:CROSS RIVER CARDIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:GETTY
Authorized Official - Suffix:
Authorized Official - Credentials:MHS PA-C
Authorized Official - Phone:828-572-0778
Mailing Address - Street 1:PO BOX 618
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-0618
Mailing Address - Country:US
Mailing Address - Phone:828-572-0778
Mailing Address - Fax:828-726-3531
Practice Address - Street 1:224 SHARON AVE NW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645
Practice Address - Country:US
Practice Address - Phone:828-572-0778
Practice Address - Fax:828-726-3531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200101545207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty