Individual
BRENDA JANE CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 W ELK AVE, ELIZABETHTON, TN 37643-2654
(423) 543-2584
(423) 722-2060
Mailing address
1500 W ELK AVE, ELIZABETHTON, TN 37643-2654
(423) 543-2584
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD17907
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0327017
—
TN
01
—
160055035
RAILROAD MEDICARE
TN
01
—
3131685
BCBS OF TENNESSEE
TN
01
—
TN0101
JOHN DEERE COMMERICAL INS
TN
Enumeration date
03/16/2006
Last updated
04/29/2021
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