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NPI Code Detail

MEDICARE: GARY CRUMMETT & SONS

MEDICARE: GARY CRUMMETT & SONS
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
1171WH0202XHome Modifications Contractor2705141949AVA

General Provider Information

NPI Number : 1497194179
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARY CRUMMETT & SONS
Provider Business Mailing Address
First Line : 3437 BLOSSOM DR
Second Line :
City : MOUNT CRAWFORD
State : VA
Zip : 22841-2121
Country : US
Telephone Number : 540-434-1030
Fax Number :
Provider Business Practice Location Address
First Line : 3437 BLOSSOM DR
Second Line :
City : MOUNT CRAWFORD
State : VA
Zip : 22841-2121
Country : US
Telephone Number : 540-434-1030
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. GARY RAY CRUMMETT
Credential : CLASS A CONTRACTOR
Telephone Number : 540-434-1030
Provider Enumeration Date : 06/17/2013
Last Update Date : 06/17/2013

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Directions to “GARY CRUMMETT & SONS ” Practice Location

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