# GREGORY D CRENSHAW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326238171
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 18022 | MS | — |
| 2086S0129X | Vascular Surgery Physician | MD200466 | LA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 200466 | LA | — |

## Other

- **Enumeration date:** 07/27/2007
- **Last updated:** 05/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1090735 | — | LA |
| 05 | — | 7906270 | — | MS |