Individual
AUDRA CRABBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2056 PAWNEE DR SE, MARIETTA, GA 30067-7310
(908) 391-2395
Mailing address
2056 PAWNEE DR SE, MARIETTA, GA 30067-7310
(908) 391-2395
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
12510
GA
Other
Enumeration date
05/11/2024
Last updated
08/26/2024
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