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Individual

DR. DARRELL GLENN CROFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2120 EXETER RD STE 130, GERMANTOWN, TN 38138-3900
(901) 756-1680
(901) 755-3389
Mailing address
2120 EXETER RD STE 130, GERMANTOWN, TN 38138-3900
(901) 756-1680
(901) 755-3389

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM412
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06934511
MS
05
33518841
TN
Enumeration date
11/21/2005
Last updated
04/26/2021
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