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Individual

MRS. SUSAN N PICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
493 LANTANA RD, CROSSVILLE, TN 38555
(931) 707-8383
(931) 707-1076
Mailing address
PO BOX 568, CROSSVILLE, TN 38557-0568
(931) 707-8383
(931) 707-1076

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
023765
TN
225C00000X
Rehabilitation Counselor
023765
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1196780001
CIGNA GOVT SERVICES DME
TN
01
1346420924
GROUP NPI
01
165713900
DEPT OF LABOR
TN
01
3060722
BCBS PROVIDER NUMBER
TN
01
3279965
CIGNA
TN
05
3716258
TN
01
621586903
TRICARE PROVIDER NUMBER
TN
01
6215869030001
CIGNA
TN
01
62158690338555A001
TRICARE
TN
01
TN9999
UNITED WORLD LIFE INS
TN
Enumeration date
08/30/2006
Last updated
03/07/2023
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