Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cross Creek Medical Clinic, PA

Organization Internal Medicine Physician · NPI 1174575179

Cross Creek Medical Clinic, PA is an Internal Medicine Physician in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1309 Medical Dr Ste 1
Fayetteville, NC 28304-4425
Phone: (910) 437-5130
Fax: (910) 437-5130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 9600078 (NC)

Record details

NPI number1174575179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nitin Desai — President · (910) 437-5130
NPI enumeratedMay 17, 2006
Last updated in NPPESDecember 13, 2007
Mailing address1309 Medical Dr, Suite 1, Fayetteville, NC 28304-4425

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