Individual
MICHAEL SHANE CROTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
1002 EVELYN CV, NEW ALBANY, MS 38652-5922
(662) 316-9313
Mailing address
1002 EVELYN CV, NEW ALBANY, MS 38652-5922
(662) 316-9313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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