Individual
SIDNEY S CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
227 HOSPITAL DR, JACKSON, AL 36545-2423
(251) 246-4446
(251) 246-5111
Mailing address
PO BOX 639, JACKSON, AL 36545-0639
(251) 246-4446
(251) 246-5111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10439
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051037556
—
AL
01
—
1750393682
GROUP NPI #
AL
05
—
1750393682
—
AL
05
—
1982604948
—
AL
01
—
37556
MEDICARE PROVIDER #
AL
05
—
529700760
—
AL
05
—
541003926
—
AL
05
—
541392602
—
AL
01
—
F712
MEDICARE GROUP ID
AL
Enumeration date
07/29/2005
Last updated
05/25/2009
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