Healthcare Provider Details

I. General information

NPI: 1770707705
Provider Name (Legal Business Name): LINDSAY CARL CRAWFORD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 N LYERLY ST SUITE 100
CHATTANOOGA TN
37404-2728
US

IV. Provider business mailing address

2300 E 3RD ST STE B
CHATTANOOGA TN
37404-2700
US

V. Phone/Fax

Practice location:
  • Phone: 423-826-8000
  • Fax: 423-702-7915
Mailing address:
  • Phone: 423-702-7900
  • Fax: 423-702-7905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0000042081
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMED-PHYS-COM-LIC-161
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number056531
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: