Individual
RACHEL ANN CRUDGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 535-3611
(770) 535-7092
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
060718
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01184316
AMERIGROUP
GA
05
—
178218352A
—
GA
05
—
178218352B
—
GA
05
—
178218352C
—
GA
05
—
178218352D
—
GA
05
—
178218352E
—
GA
01
—
453382
WELLCARE
GA
01
—
453415
WELLCARE
GA
01
—
453425
WELLCARE
GA
01
—
453429
WELLCARE
GA
01
—
52245265
BCBS
GA
01
—
530894
WELLCARE
GA
01
—
582117020
TRICARE
GA
01
—
582117020018
TRICARE
GA
01
—
582117020024
TRICARE
GA
01
—
582117020030
TRICARE
GA
01
—
8974812
CIGNA
GA
01
—
9806158
AETNA
GA
Enumeration date
04/03/2007
Last updated
08/17/2023
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