Individual
JACK CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA, CST
Contact information
Practice address
3121 BRIMSTEAD DR, FRANKLIN, TN 37064-6225
(615) 775-8953
Mailing address
3121 BRIMSTEAD DR, FRANKLIN, TN 37064-6225
(615) 775-8953
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
10-227
TN
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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