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Individual
MR. GREGORY CROWDER
Active
Individual
MR. GREGORY CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
138005
MT
363L00000X
Nurse Practitioner
201454
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5000025667
—
NC
01
—
500025667
RAILROAD MEDICARE
NC
05
—
7000323
—
NC
Enumeration date
12/22/2005
Last updated
12/19/2018
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