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Individual

DR. JOHN REAMS CROCKARELL SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2645 HALLE PKWY, COLLIERVILLE, TN 38017-8802
(901) 861-2645
(901) 861-2646
Mailing address
2645 HALLE PKWY, COLLIERVILLE, TN 38017-8802
(901) 861-2645
(901) 861-2646

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M.D.5304
TN

Other

Enumeration date
03/26/2008
Last updated
03/26/2008
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