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ERIKA HAZARD CREECH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
21 MERIDIAN SPRINGS DR, JACKSON, TN 38301-5900
(731) 256-0526
(731) 256-1720
Mailing address
21 MERIDIAN SPRINGS DR, JACKSON, TN 38301-5900
(731) 256-0526
(731) 256-1720

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24799
TN
332B00000X
Durable Medical Equipment & Medical Supplies
MD024799
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0725896
CIGNA
TN
01
162154
BETTER HEALTH
TN
05
3078636
TN
01
33809
TLC
TN
01
4099359
BLUE CROSS BLUE SHIELD
TN
01
626001636
USA MANAGED CARE
TN
01
P00223670
RAILROAD MEDICARE
TN
Enumeration date
07/07/2005
Last updated
11/26/2014
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