MEDICARE: DR. PAUL CLINTON CROW DC

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	111N00000X	Chiropractor	DC0000001947	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5673896	OTHER	TN	CIGNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4075961	OTHER	TN	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1083793640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL CLINTON CROW DC

Provider Business Mailing Address
First Line	:	255 DOVER RD
Second Line	:	GRIFFIN CENTER
City	:	CLARKSVILLE
State	:	TN
Zip	:	37042-4155
Country	:	US
Telephone Number	:	931-906-2055
Fax Number	:	931-906-2172

Provider Business Practice Location Address
First Line	:	255 DOVER RD
Second Line	:	GRIFFIN CENTER
City	:	CLARKSVILLE
State	:	TN
Zip	:	37042-4155
Country	:	US
Telephone Number	:	931-906-2055
Fax Number	:	931-906-2172

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

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	11/27/2019

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Directions to “ DR. PAUL CLINTON CROW DC” Practice Location

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