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Individual

DR. JOSEPH G KRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1805 N JACKSON ST STE 14, TULLAHOMA, TN 37388-2275
(931) 563-7675
(877) 409-2636
Mailing address
PO BOX 1866, TULLAHOMA, TN 37388-1866
(931) 563-7675
(877) 409-2636

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD018522
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0074401
BLUE CROSS PROVIDER NUMBE
TN
01
100001547
RAILROAD MEDICARE NUMBER
TN
01
1740206
UNITED HEALTHCARE NUMBER
TN
05
3030060
TN
01
621340377
TRICARE NUMBER
TN
Enumeration date
06/13/2005
Last updated
02/15/2023
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