Individual
DR. WENDY LEE CRAN-CARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1188 N MARKET ST, PARIS, TN 38242-3206
(731) 642-8883
(731) 642-8997
Mailing address
1188 N MARKET ST, PARIS, TN 38242-3206
(731) 642-8883
(731) 642-8997
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38803
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
38803
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11340100
CAQH
TN
01
—
158937
BETTER HEALTH PLANS
TN
05
—
32611
—
TN
01
—
3726534
TENNCARE/MEDICAID
TN
01
—
4091523
TENNCARE
TN
01
—
421640170
CHAMPUS TRICARE
TN
01
—
5222034
CIGNA HEALTHCARE
TN
Enumeration date
08/11/2005
Last updated
12/17/2012
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