Individual
CHARLES A CRUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3004 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2343
(606) 248-4131
(606) 248-4133
Mailing address
3004 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2343
(606) 248-4131
(606) 248-4133
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9900198
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11906
BCBSNC
NC
05
—
8911906
—
NC
Enumeration date
06/03/2006
Last updated
10/20/2011
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