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Individual

DR. TIMOTHY KEITH CRUMPLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2650 EXECUTIVE PARK NW, SUITE 5, CLEVELAND, TN 37312-2746
(423) 479-9679
(423) 559-9046
Mailing address
2650 EXECUTIVE PARK NW, SUITE 5, CLEVELAND, TN 37312-2746

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24520
TN

Other

Enumeration date
06/16/2006
Last updated
07/08/2007
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