Individual
MR. DANIEL ALLEN CRALL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11611 HIGHWAY 51 S, ATOKA, TN 38004-7130
(901) 842-1760
Mailing address
11611 HIGHWAY 51 S, ATOKA, TN 38004-7130
(757) 615-7022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-09235
NC
363A00000X
Physician Assistant
Primary
4453
TN
Other
Enumeration date
07/24/2019
Last updated
06/30/2023
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