# G CRENSHAW

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- **Entity:** Organization
- **Status:** Active
- **Other names:** G Crenshaw LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225729874
- **Authorized official:** LAUREN GAST (CREDENTIALING MANAGER)
- **Authorized official phone:** (985) 635-6943

## Contact information

- **Practice address:** 1108 VALENCE ST, NEW ORLEANS, LA 70115-2806
- **Practice address phone:** (601) 672-3601
- **Mailing address:** PO BOX 1536, MANDEVILLE, LA 70470-1536
- **Mailing address phone:** (985) 635-6943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2023
- **Last updated:** 05/01/2024