MEDICARE: DR. JOHN D CRAWFORD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	11701	TN

General Provider Information

NPI Number	:	1568406551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN D CRAWFORD MD

Provider Business Mailing Address
First Line	:	3140 WETHERBY COVE
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38139-8049
Country	:	US
Telephone Number	:	901-336-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3140 WETHERBY COVE
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38139
Country	:	US
Telephone Number	:	901-754-8589
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	02/23/2022

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