Individual
TIMOTHY RAY CROSSETT
Active
Individual
TIMOTHY RAY CROSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19952
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300056937
RR MEDICARE
TN
01
—
300056951
RR MEDICARE
—
01
—
3058645
BCBS
—
05
—
3086620
—
TN
05
—
3086628
—
TN
05
—
3828137
—
TN
01
—
4102190
BCBS
—
01
—
P00271014
RR MEDICARE
—
Enumeration date
03/02/2006
Last updated
04/25/2017
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