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Provider Information for 1629079793



DR. JAMES M CRUMB M.D.

Gender: MALE

Individual NPI: 1629079793

Calendar Last Updated: 2016-08-20

Details

Name Value
NPI 1629079793
Enumeration Date 2005-08-10
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 4357 MIDMOST DR STE. A
MOBILE, AL 36609-5505
United States

Phone: 251-345-0773 | Fax: 877-806-8642
View Map External Link
Primary Practice Address 4357 MIDMOST DR. STE. A
MOBILE, AL 36609-4060
United States

Phone: 251-345-0773 | Fax: 877-806-8642
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2081P2900X - Physical Medicine & Rehabilitation Pain Medicine AL 24535
No 2081P0004X - Physical Medicine & Rehabilitation Spinal Cord Injury Medicine AL 24535
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location