Individual
MS. ANNE CARSON CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8880 ABERCORN ST, SAVANNAH, GA 31406-4508
(912) 331-4444
Mailing address
PO BOX 116510, ATLANTA, GA 30368-6073
(912) 355-6615
(912) 351-0645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5623
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003114220B
—
GA
01
—
P00727253
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
10/28/2008
Last updated
05/03/2023
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