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1982713053

NPI Code Detail

MEDICARE: DR. MONICA K. CRANE MD

MEDICARE: DR. MONICA K. CRANE 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
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	2006-00402	NC
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	42587	TN
3	207QG0300X	Geriatric Medicine (Family Medicine) Physician	MD00000-42587	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1982713053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA K. CRANE MD

Provider Business Mailing Address
First Line	:	1731 SAINT PETERSBURG ROAD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922
Country	:	US
Telephone Number	:	215-840-4020
Fax Number	:	865-444-7672

Provider Business Practice Location Address
First Line	:	1400 DOWELL SPRINGS BLVD STE 100
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-2457
Country	:	US
Telephone Number	:	865-888-9494
Fax Number	:	865-444-7672

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	09/20/2017

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Directions to “ DR. MONICA K. CRANE MD” Practice Location

Language	Start Address	Practice Location

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