Individual provider · Type 1 NPI

Caleb Crocker

Surgical Physician Assistant · Nashville, TN

NPI number 1902329550 Active

Practice location

3443 Dickerson Pike Ste 190
Nashville, TN 37207-2533

Mailing address

PO Box 370
Fortson, GA 31808-0370

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X4901 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1902329550

Caleb Crocker's National Provider Identifier is 1902329550, issued on Jul 25, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Nashville, TN. The record was last updated on Sep 13, 2022.