Individual
MARCUS CRITTENDEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2520 5TH ST N, COLUMBUS, MS 39705-2008
(904) 805-1300
(904) 805-1302
Mailing address
30 BURTON HILLS BLVD, STE 175, NASHVILLE, TN 37215-6403
(615) 988-2014
(615) 523-0647
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13887
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113884
—
MS
01
—
009983275
ALABAMA MEDICAID
MS
01
—
562251777
BLUE CROSS
MS
01
—
73104186
ALABAMA BLUE CROSS
MS
01
—
P00233502
RAILROAD MEDICARE
MS
Enumeration date
06/13/2006
Last updated
07/25/2016
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