Individual
DR. JEFFERSON WARD CROSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
753 HUMBLE DR, STE B, COOKEVILLE, TN 38501-4202
(931) 520-1800
(931) 520-1844
Mailing address
753 HUMBLE DR, STE B, COOKEVILLE, TN 38501-4202
(931) 520-1800
(931) 520-1844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0008019
TN
174400000X
Specialist
Primary
MD8019
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508364
—
TN
Enumeration date
06/01/2005
Last updated
01/09/2017
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