Individual
FRANKLIN CHASE CRUMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1211 S GLOSTER ST STE A, TUPELO, MS 38801-6548
(662) 767-4200
(662) 767-4201
Mailing address
1211 S GLOSTER ST, TUPELO, MS 38801-6546
(662) 767-4200
(662) 767-4201
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3362
TN
363AS0400X
Surgical Physician Assistant
3362
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1136178
NCCPA
MS
01
—
1136178
NCCPA
TN
01
—
3362
STATE LICENSE
TN
01
—
PA00505
STATE LICENSE
MS
Enumeration date
08/09/2017
Last updated
03/06/2023
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