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1447214382
JACK R CROWDER
KINGSPORT, TN
NPI
1447214382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: TN MD07408)
Enumeration Date
2006-04-17
Last Update Date
2010-08-30
Business Address
JACK R CROWDER M.D.
2002 BROOKSIDE DR SUITE 300
KINGSPORT, TN 37660-4634
Phone number: 423-392-6370
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Mailing Address
JACK R CROWDER M.D.
2002 BROOKSIDE DR SUITE 300
KINGSPORT, TN 37660-4634
Phone number: 423-392-6370
Copy
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