Individual
JAMES LUTHER CRABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
176 W UNIVERSITY PKWY STE C, JACKSON, TN 38305-1618
(731) 660-6915
(731) 668-4557
Mailing address
36 NORTHWOOD AVE, JACKSON, TN 38301-4450
(731) 394-4596
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
07971
TN
207Q00000X
Family Medicine Physician
Primary
MD7971
TN
207W00000X
Ophthalmology Physician
MD7971
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31528111
MEDICAID
TN
05
—
3152816
—
TN
01
—
4108241
BCBS
TN
01
—
4175853
BCBS
TN
01
—
P00233179
RAILROAD MEDICARE
TN
Enumeration date
06/06/2006
Last updated
09/05/2013
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