Individual
DR. JERRALL P CROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 THOMPSON LN, NASHVILLE, TN 37211-2411
(615) 781-0013
(615) 781-0688
Mailing address
145 THOMPSON LN, NASHVILLE, TN 37211-2411
(615) 781-0013
(615) 781-0688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3446
TN
207R00000X
Internal Medicine Physician
3446
TN
207Y00000X
Otolaryngology Physician
3446
TN
208D00000X
General Practice Physician
Primary
3446
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10834071
CAQH
—
Enumeration date
06/17/2011
Last updated
12/15/2011
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