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NPI Code Detail

MEDICARE: JANET LARD CROMWELL MD

MEDICARE: JANET LARD CROMWELL 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
1207R00000XInternal Medicine Physician15250TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
226884OTHERTLC
34066839OTHERBCBS

General Provider Information

NPI Number : 1841278520
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET LARD CROMWELL MD
Provider Business Mailing Address
First Line : 195 ENOCH BLVD
Second Line :
City : SAVANNAH
State : TN
Zip : 38372-2240
Country : US
Telephone Number : 731-926-1502
Fax Number : 731-926-4062
Provider Business Practice Location Address
First Line : 195 ENOCH BLVD
Second Line :
City : SAVANNAH
State : TN
Zip : 38372-2240
Country : US
Telephone Number : 731-926-1502
Fax Number : 731-926-4062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 07/27/2021

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