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Individual

MR. ROBERT J CROUCH III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
141 HILLCREST DR, CLARKSVILLE, TN 37043-5088
(931) 563-0738
(931) 552-0999
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(615) 329-2294
(615) 695-1494

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1553
TN
207Q00000X
Family Medicine Physician
1553
TN
207R00000X
Internal Medicine Physician
1553
TN
208000000X
Pediatrics Physician
1553
TN
208100000X
Physical Medicine & Rehabilitation Physician
1553
TN
2085R0202X
Diagnostic Radiology Physician
1553
TN
208600000X
Surgery Physician
1553
TN
363A00000X
Physician Assistant
Primary
1553
TN

Other

Enumeration date
11/21/2006
Last updated
06/07/2024
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