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Individual
TODD EVANS CRAWFORD
Active
Individual
TODD EVANS CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103842
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285682310
WSCA GRP NPI #
NC
Enumeration date
01/17/2006
Last updated
07/29/2024
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