Dr. Mark H Crowell Pllc | |
1385 S Highland Ave Suite B6 Jackson TN 38301-7580 | |
(731) 736-1874 | |
(731) 736-1884 |
Full Name | Dr. Mark H Crowell Pllc |
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Speciality | Social Worker - Clinical |
Location | 1385 S Highland Ave, Jackson, Tennessee |
Authorized Official Name and Position | Mark H Crowell (OWNER) |
Authorized Official Contact | 7317361874 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. Mark H Crowell Pllc 1385 S Highland Ave Suite B6 Jackson TN 38301-7580 Ph: (731) 736-1874 | Dr. Mark H Crowell Pllc 1385 S Highland Ave Suite B6 Jackson TN 38301-7580 Ph: (731) 736-1874 |
NPI Number | 1609101187 |
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Provider Enumeration Date | 10/16/2009 |
Last Update Date | 10/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609101187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LSW0000000387 (Tennessee) | Primary |
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