Individual
DR. ZACHARIAH LEA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
47 E LAKE RD, HATTIESBURG, MS 39402-7706
(601) 466-9652
Mailing address
47 EAST LAKE RD, JACKSON, MS 39206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3692-13MS
MS
Other
Enumeration date
07/08/2013
Last updated
04/01/2016
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