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Individual

DR. DONALD S CRUMBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
5651 FRIST BLVD, SUITE 603, HERMITAGE, TN 37076-2054
(615) 889-1968
Mailing address
223 BELLE MEADE BLVD, NASHVILLE, TN 37205-3448
(615) 889-1968

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
13765
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3705322
TN
05
64775778
KY
01
P00684686
RR MEDICARE
TN
Enumeration date
02/09/2006
Last updated
02/02/2010
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