Provider Demographics
NPI:1467501379
Name:MCCRANEY, DENNIS C (PA-C)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:C
Last Name:MCCRANEY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1226
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37065-1226
Mailing Address - Country:US
Mailing Address - Phone:615-591-2732
Mailing Address - Fax:615-591-2779
Practice Address - Street 1:4147 HWY 127 N
Practice Address - Street 2:SUITE 102
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38571-7521
Practice Address - Country:US
Practice Address - Phone:931-456-1223
Practice Address - Fax:931-456-1230
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPA0000000918363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4141136OtherBC/BS - COLUMBIA
TN4142236OtherBC/BS - MCMINNVILLE
TN36701051Medicaid
TNP00431299OtherRAILROAD MEDICARE
TNPA0000000918OtherSTATE LICENSE
TN36701051Medicaid
TNS48742Medicare UPIN