Individual
MARTHA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
593 CRAWFORD ST SE, DAWSON, GA 39842-2041
(229) 583-3106
Mailing address
593 CRAWFORD ST SE, DAWSON, GA 39842-2041
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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