Individual
MR. NORRIS VINCENT CRUMP SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
898 LYNDEN BLVD, 898 LYNDEN BLVD, TUPELO, MS 38801
(662) 842-4427
(662) 840-1420
Mailing address
PO BOX 1337, 898 LYNDEN BLVD, TUPELO, MS 38801
(662) 842-4427
(662) 840-1420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8243
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016859
—
MS
01
—
0122979
BCBS
TN
01
—
73004335
BCBS ALA
—
Enumeration date
01/23/2007
Last updated
07/09/2007
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