Individual
MR. JACE JOHN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(770) 786-7053
Mailing address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(770) 786-7053
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
GA
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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