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Individual

GARY CROTTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1225 E WEISGARBER RD STE 200, KNOXVILLE, TN 37909-2675
(865) 584-4747
(865) 212-3718
Mailing address
PO BOX 635, POWELL, TN 37849-0635
(865) 938-3627

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6215
TN

Other

Enumeration date
06/10/2006
Last updated
07/08/2007
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