Individual
CAROLINE CAITLYN CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
57 GERMANTOWN CT STE 100, CORDOVA, TN 38018-4274
(901) 763-0200
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5863
TN
Other
Enumeration date
01/12/2024
Last updated
01/31/2024
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