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Organization

JAN L CREAN MD FACOG OB/GYN PC

Active
Parent organization
JAN L CREAN MD FACOG OB/GYN PC
Other names
Jan L Crean MD FACOG Obstetrics & Gynecology
Organization subpart
Yes

Provider details

NPI number
Legal business name
JAN L CREAN MD FACOG OB/GYN PC
Authorized official
JAN L CREAN (PRESIDENT)
(931) 455-1177
Entity
Organization

Contact information

Practice address
603 LAKE WAY PL, SUITE B, TULLAHOMA, TN 37388-4740
(931) 455-1177
(931) 461-3091
Mailing address
603 LAKE WAY PL, SUITE B, TULLAHOMA, TN 37388-4740
(931) 455-1177
(931) 461-3091

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036135
TN

Other

Enumeration date
05/03/2010
Last updated
05/19/2010
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