Individual
DR. AMYLYN LANE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
737 E SEVIER AVE, KINGSPORT, TN 37660-4912
(423) 246-7922
(423) 246-4248
Mailing address
PO BOX 850, ATTN: CREDENTIALING, ROGERSVILLE, TN 37857-0850
(423) 246-7922
(423) 246-4248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37292
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3887271
—
TN
01
—
4066931
BCBST
TN
Enumeration date
06/13/2005
Last updated
03/11/2009
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