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Organization

COLIE E CRUTCHER MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GLADYS B EDDIE (OFFICE MANAGER)
(205) 392-5350
Entity
Organization

Contact information

Practice address
754 DERBY DR, YORK, AL 36925-2122
(205) 392-5350
(205) 392-4821
Mailing address
754 DERBY DR, YORK, AL 36925-2122
(205) 392-5350
(205) 392-4821

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17070
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529503840
AL
Enumeration date
10/24/2006
Last updated
09/02/2015
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