Jan L Crean MD Facog Ob/gyn PC

NPI #1720305576 in Tullahoma, Tennessee

Provider Information

NPI Number: 1720305576
Entity Type: Organization
Organization Name: Jan L Crean MD Facog Ob/gyn PC
Subpart: Yes (part of a larger organization)
Parent Organization: JAN L CREAN MD FACOG OB/GYN PC
Primary Specialty: Specialist
Enumeration Date: May 3, 2010
Last Updated: May 19, 2010

Practice Location

Address: 603 LAKE WAY PL
Address 2: SUITE B
City: Tullahoma
State: Tennessee
ZIP Code: 37388-4740
Phone: (931) 455-1177

Authorized Official

Name: JAN L CREAN
Title: PRESIDENT
Phone: (931) 455-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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