Most Relevant Information
Provider Data
| NPI Number: | 1003676735 |
| Provider Name: | JOAN CRENSHAW MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2024 |
| Last Updated: | 03/20/2024 |
Provider Practice Location
294 SUMMAR DR
JACKSON
TN
383013915
Practice Location Phone/Fax
| Phone: | 7314231932 |
| Fax: | 7316608739 |
Provider Mailing Location
294 SUMMAR DR
JACKSON
TN
383013915
Provider Mailing Phone/Fax
| Phone: | 7314231932 |
| Fax: | 7316608739 |