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Individual
LADDIE MOORE CRISP III
Active
Individual
LADDIE MOORE CRISP III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
202504262
NC
207Q00000X
Family Medicine Physician
MRM-1726
ID
208M00000X
Hospitalist Physician
0101272131
VA
208M00000X
Hospitalist Physician
Primary
63278
TN
Other
Enumeration date
05/15/2018
Last updated
09/01/2026
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