Individual
LISA TERRELL CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
455 S MAIN ST STE 104, HINESVILLE, GA 31313-4354
(912) 876-5644
(912) 877-6341
Mailing address
455 S MAIN ST STE 104, HINESVILLE, GA 31313-4354
(912) 876-5644
(912) 877-6341
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN113544
GA
Other
Enumeration date
03/24/2010
Last updated
05/23/2019
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