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Individual
WILLIAM ANDREW CRABTREE
Active
Individual
WILLIAM ANDREW CRABTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004026A
IN
363A00000X
Physician Assistant
1963
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518266725
—
VA
05
—
1522339
—
TN
05
—
1523445
—
TN
01
—
233690184
MEDICARE PTAN
IN
05
—
300078171
—
IN
Enumeration date
03/28/2011
Last updated
09/29/2023
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