Individual
CHARLES CRAWHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
989 PORTLAND RD, COLUMBIA, KY 42728-5283
(270) 361-8397
Mailing address
PO BOX 332, COLUMBIA, KY 42728-0332
(270) 361-8397
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
KY
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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