Individual provider · Type 1 NPI

Charles Marcrum Ii, PA-C

Medical Physician Assistant · Nashville, TN

NPI number 1861882482 Active

Practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-3811

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice locations

  • 789 W Duval St, Lake City, FL 32055-3811 · (386) 755-1546

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9108548 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1861882482

Charles Marcrum Ii, PA-C's National Provider Identifier is 1861882482, issued on Feb 3, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Nashville, TN. The record was last updated on Mar 22, 2022.