Provider Demographics
NPI:1831728930
Name:CRAWLEY, CLAYTON (DO)
Entity type:Individual
Prefix:
First Name:CLAYTON
Middle Name:
Last Name:CRAWLEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 SAGE RD N STE 200
Mailing Address - Street 2:
Mailing Address - City:WHITE HOUSE
Mailing Address - State:TN
Mailing Address - Zip Code:37188-9361
Mailing Address - Country:US
Mailing Address - Phone:615-672-7122
Mailing Address - Fax:
Practice Address - Street 1:491 SAGE RD N STE 200
Practice Address - Street 2:
Practice Address - City:WHITE HOUSE
Practice Address - State:TN
Practice Address - Zip Code:37188-9361
Practice Address - Country:US
Practice Address - Phone:615-672-7122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5281207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine