Provider Demographics
NPI:1356219307
Name:MONCRIEF MEDICAL GROUP PLLC
Entity type:Organization
Organization Name:MONCRIEF MEDICAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:COLLIER
Authorized Official - Last Name:CRABTREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-482-1692
Mailing Address - Street 1:400 LABORATORY RD STE 101
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6808
Mailing Address - Country:US
Mailing Address - Phone:865-482-1692
Mailing Address - Fax:865-482-4070
Practice Address - Street 1:400 LABORATORY RD STE 101
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6808
Practice Address - Country:US
Practice Address - Phone:865-482-1692
Practice Address - Fax:865-482-4070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty