Individual
DR. DAVID CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 MEDICAL CENTER BLVD STE G25, FAYETTEVILLE, TN 37334-2741
(931) 438-7344
Mailing address
108 MEDICAL CENTER BLVD, STEG25, FAYETTEVILLE, TN 37334-2684
(931) 438-7344
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13246
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121751
—
MS
01
—
C03241
MEDICARE CAHABA
MS
01
—
P00205316
PALMETTO MEDICARE RAILROA
MS
Enumeration date
10/16/2006
Last updated
01/14/2020
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