Individual
PRESTON ALLEN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
11 JOHNSON ST, HAZLEHURST, GA 31539-6243
(800) 367-0816
(912) 525-1933
Mailing address
15 JOE NORMAN RD, HAZLEHURST, GA 31539-8047
(912) 278-2303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN239193
GA
Other
Enumeration date
08/01/2019
Last updated
06/09/2022
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