Individual
MR. JERRY A. CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.F.A.
Contact information
Practice address
2749 PARK WEST DR, COOKEVILLE, TN 38501-5606
(931) 432-0540
(931) 432-0540
Mailing address
PO BOX 3661, COOKEVILLE, TN 38502-3661
(931) 432-0540
(931) 432-0540
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
104144
TN
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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