| Norris V Crump Md Internal Medicine Pa | |
|
898 Lynden Blvd Tupelo MS 38801 | |
| (662) 842-4427 | |
| (662) 840-1420 |
| Full Name | Norris V Crump Md Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 898 Lynden Blvd, Tupelo, Mississippi |
| Authorized Official Name and Position | Norris V Crump (OWNER) |
| Authorized Official Contact | 6628424427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norris V Crump Md Internal Medicine Pa Po Box 1337 898 Lynden Blvd Tupelo MS 38801 Ph: (662) 842-4427 | Norris V Crump Md Internal Medicine Pa 898 Lynden Blvd Tupelo MS 38801 Ph: (662) 842-4427 |
| NPI Number | 1275675449 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0042405920 |
|---|---|
| Medicare Enrollment ID | O20101117001069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275675449 | NPI | - | NPPES |
| 00016859 | Medicaid | MS | |
| 0122979 | Other | TN | BCBS |
| 73004335 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8243 (Mississippi) | Primary |
| Provider Name | Norris V Crump |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841344892 PECOS PAC ID: 4880889757 Enrollment ID: I20101117001036 |
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