Individual
EVERETT HOWELL CRAWFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47 E LAKE RD, HATTIESBURG, MS 39402-7706
(601) 261-3974
Mailing address
47 E LAKE RD, HATTIESBURG, MS 39402-7706
(601) 261-3974
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
10257
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018568
—
MS
05
—
1032654
—
LA
01
—
110022959
RAILROAD MEDICARE
—
01
—
1558932
AMERICAN ADMIN GROUP
MS
Enumeration date
08/03/2006
Last updated
01/03/2022
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