Organization
NORRIS V CRUMP MD INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORRIS V CRUMP SR. MD (OWNER)
(662) 842-4427
Entity
Organization
Contact information
Practice address
898 LYNDEN BLVD, TUPELO, MS 38801
(662) 842-4427
(662) 840-1420
Mailing address
PO BOX 1337, 898 LYNDEN BLVD, TUPELO, MS 38801
(662) 842-4427
(662) 840-1420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8243
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016859
—
MS
01
—
0122979
BCBS
TN
01
—
73004335
BCBS
AL
Enumeration date
02/13/2007
Last updated
08/22/2020
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