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NPI Code Detail

MEDICARE: DR. TIMOTHY KEITH CRUMPLER MD

MEDICARE: DR. TIMOTHY KEITH CRUMPLER 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
1207P00000XEmergency Medicine Physician24520TN

General Provider Information

NPI Number : 1275577231
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY KEITH CRUMPLER MD
Provider Business Mailing Address
First Line : 2650 EXECUTIVE PARK NW
Second Line : SUITE 5
City : CLEVELAND
State : TN
Zip : 37312-2746
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2650 EXECUTIVE PARK NW
Second Line : SUITE 5
City : CLEVELAND
State : TN
Zip : 37312-2746
Country : US
Telephone Number : 423-479-9679
Fax Number : 423-559-9046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 07/08/2007

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Directions to “ DR. TIMOTHY KEITH CRUMPLER MD” Practice Location

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