Individual
JOHN DENNIE CRABTREE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 CEDAR LN, STE 100, TULLAHOMA, TN 37388-4760
(931) 455-7779
(931) 454-2376
Mailing address
1750 CEDAR LN, STE 100, TULLAHOMA, TN 37388-4760
(931) 455-7779
(931) 454-2376
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD023887
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020040539
RAILROAD MEDICARE
TN
01
—
1740322
UNITED HEALTHCARE
TN
01
—
3092513
BC/BS TN
TN
05
—
3092513
—
TN
01
—
4400031002
CIGNA
TN
01
—
621735607
TRICARE
TN
Enumeration date
05/31/2005
Last updated
05/18/2023
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