Individual
MARY ELIZABETH CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
11416 GRIGSBY CHAPEL RD STE 104, KNOXVILLE, TN 37934-1649
(865) 218-2100
Mailing address
PO BOX 2070, CLEVELAND, TN 37320-2070
(423) 476-5774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TL1930
SC
Other
Enumeration date
06/20/2013
Last updated
10/14/2020
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