Individual
MR. MICHAEL JOHN CREASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 SUMMERTOWN HWY, HOHENWALD, TN 38462-5703
(931) 796-5916
Mailing address
646 ANDERSON LN, HOHENWALD, TN 38462-1345
(931) 628-0967
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TN
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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