Individual
TRACY CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 PUBLIC SQ E, SHELBYVILLE, TN 37160-3957
(931) 771-6211
Mailing address
112 PUBLIC SQ E, SHELBYVILLE, TN 37160-3957
(931) 771-6211
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
086785935
TN
Other
Enumeration date
02/08/2017
Last updated
03/21/2017
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