Provider Demographics
NPI:1922406735
Name:ALAN L. CREWS MD
Entity Type:Organization
Organization Name:ALAN L. CREWS MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CREWS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-775-6668
Mailing Address - Street 1:163 WALNUT GROVE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37321-6104
Mailing Address - Country:US
Mailing Address - Phone:423-775-6668
Mailing Address - Fax:423-775-1054
Practice Address - Street 1:163 WALNUT GROVE CHURCH RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TN
Practice Address - Zip Code:37321-6104
Practice Address - Country:US
Practice Address - Phone:423-775-6668
Practice Address - Fax:423-775-1054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty