Provider Demographics
NPI:1629079793
Name:CRUMB, JAMES M (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:CRUMB
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4357 MIDMOST DR
Mailing Address - Street 2:STE. A
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5505
Mailing Address - Country:US
Mailing Address - Phone:251-345-0773
Mailing Address - Fax:877-806-8642
Practice Address - Street 1:4357 MIDMOST DR.
Practice Address - Street 2:STE. A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-4060
Practice Address - Country:US
Practice Address - Phone:251-345-0773
Practice Address - Fax:877-806-8642
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2016-08-20
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Provider Licenses
StateLicense IDTaxonomies
AL245352081P0004X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051509663Medicare ID - Type Unspecified
ALH63417Medicare UPIN