Individual
CLIFFORD A. CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1628 MARKET PLACE BLVD, CUMMING, GA 30041-7927
(770) 292-9982
Mailing address
1628 MARKET PLACE BLVD, CUMMING, GA 30041-7927
(770) 292-9982
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
058455
GA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
13017
NV
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
4301055324
MI
Other
Enumeration date
01/04/2007
Last updated
12/08/2010
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