Individual
NICHOLAS D. CRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Q1384
TX
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Q1384
TX
2084P0800X
Psychiatry Physician
0102203754
VA
2084P0800X
Psychiatry Physician
200642
AK
2084P0800X
Psychiatry Physician
5101028172
MI
2084P0800X
Psychiatry Physician
Primary
OP61249953
WA
2084P0802X
Addiction Psychiatry Physician
Q1384
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102203754
VIRGINIA LICENSE
VA
01
—
DR.0063859
COLORADO LICENSE
CO
01
—
Q1384
TEXAS LICENSE
TX
Enumeration date
03/30/2010
Last updated
02/05/2025
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