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NPI Code Detail

MEDICARE: DR. JOHN GREGORY CRABILL MD

MEDICARE: DR. JOHN GREGORY CRABILL 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
1207Q00000XFamily Medicine Physician4301062226MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467438655
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN GREGORY CRABILL MD
Provider Business Mailing Address
First Line : PO BOX 699
Second Line :
City : MOUNTAIN HOME
State : TN
Zip : 37684-0699
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 917 W WALNUT ST
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-6527
Country : US
Telephone Number : 423-439-6464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 01/17/2024

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Directions to “ DR. JOHN GREGORY CRABILL MD” Practice Location

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