Individual
DR. GLENN ALLEN CROSBY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6373 N QUAIL HOLLOW RD, MEMPHIS, TN 38120
(901) 683-4594
(901) 683-0623
Mailing address
PO BOX 22403, BELFAST, ME 04915-4476
(888) 402-7256
(888) 902-1099
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
27889
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4055530
BC PROVIDER NUMBER
TN
01
—
P00022990
RR MEDICARE
TN
01
—
P00048606
RR MEDICARE
MS
Enumeration date
04/07/2006
Last updated
06/24/2025
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