| Southern Cross | |
|
4705 Southport Road Se Suite 108 Southport NC 28461-9074 | |
| (910) 457-6086 | |
| (910) 487-6089 |
| Full Name | Southern Cross |
|---|---|
| Speciality | Social Worker |
| Location | 4705 Southport Road Se, Southport, North Carolina |
| Authorized Official Name and Position | William Dale Hudson (OWNER) |
| Authorized Official Contact | 9106532007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Cross Po Box 656 Tabor City NC 28463-0656 Ph: (910) 653-2007 | Southern Cross 4705 Southport Road Se Suite 108 Southport NC 28461-9074 Ph: (910) 457-6086 |
| NPI Number | 1386825180 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386825180 | NPI | - | NPPES |
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