Most Relevant Information
Provider Data
| NPI Number: | 1003650847 |
| Provider Name: | CHRISTINA MARIE MCCRUDDEN BSW |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/25/2024 |
| Last Updated: | 06/25/2024 |
Provider Practice Location
6350 W ANDREW JOHNSON HWY
TALBOTT
TN
378778605
Practice Location Phone/Fax
| Phone: | 4235877337 |
| Fax: | 4235860614 |
Provider Mailing Location
1923 SULPHUR SPRINGS RD
MORRISTOWN
TN
378135654
Provider Mailing Phone/Fax
| Phone: | 4233179344 |
| Fax: | 4237142355 |