Individual
CRESTUS WILLIAM ROSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 AIRWAYS BLVD, SAVANNAH, TN 38372-3274
(731) 607-5157
Mailing address
760 AIRWAYS BLVD, SAVANNAH, TN 38372-3274
(731) 607-5157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6112
TN
Other
Enumeration date
04/05/2022
Last updated
09/30/2024
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