Individual
DELANEY CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 1ST ST, MACON, GA 31201-8300
(478) 633-1000
Mailing address
800 1ST ST, MACON, GA 31201-8300
(478) 957-5434
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
PENDING
GA
Other
Enumeration date
08/19/2024
Last updated
10/03/2024
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