Crumbliss, Mary

Crumbliss, Mary is an individual health care provider with primary practice located at 388 Fox Trot Trl , Ringgold GA 30736-7367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Crumbliss, Mary can be contacted via phone (423) 838-3300.

Contact Information

Primary practice address
388 Fox Trot Trl Ringgold GA 30736-7367
Phone: (423) 838-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN0000028490 Tennessee

Profile Details

NPI number 1144825415
LBN Legal business name Crumbliss, Mary
Credentials MSN, CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2020
Last updated Dec 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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