Individual
CANDICE SALLY CREWSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
343 FRANKLIN RD, STE 210, BRENTWOOD, TN 37027-5250
(615) 373-2248
(615) 373-5116
Mailing address
515 STONECREST PKWY, STE 210, SMYRNA, TN 37167-6826
(615) 625-7112
(615) 625-7028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47247
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524928
—
TN
Enumeration date
05/21/2008
Last updated
01/21/2013
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