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Individual

JACQUELINE CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10800 PARKSIDE DR, SUITE 203, KNOXVILLE, TN 37934-1922
(865) 218-8333
(865) 218-6228
Mailing address
10800 PARKSIDE DR, SUITE 203, KNOXVILLE, TN 37934-1922
(865) 218-8333
(865) 218-6228

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
MD30506
TN
2084N0400X
Neurology Physician
Primary
MD30506
TN

Other

Enumeration date
07/03/2006
Last updated
07/22/2010
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