Individual
ELIZABETH JANE CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
136 W. CHERRY ST, JESUP, GA 31545-0130
(912) 559-2467
(912) 559-2473
Mailing address
136 W. CHERRY ST, JESUP, GA 31545-0130
(912) 559-2467
(912) 559-2473
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
067898
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125049A
—
GA
Enumeration date
08/28/2008
Last updated
11/19/2015
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