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Individual

DR. CHARLES HOPKINS CRAWFORD III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
210 E GRAY ST, SUITE 900, LOUISVILLE, KY 40202-3900
(502) 584-8002
(502) 589-0849
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
2008004916
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
43066
KY
207XS0117X
Orthopaedic Surgery of the Spine Physician
R0688
KY
207XS0117X
Orthopaedic Surgery of the Spine Physician
TP699
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000628568
NLS/ANTHEM
01
000051983K
NLSC/HUMANA
01
109190
NLSC/SIHO
05
200951090
IN
01
3754853000
NLSC/PAD
01
50026895
NLSC/PHP
05
7100238200
KY
01
7157066
NLSC/CIGNA
Enumeration date
02/04/2007
Last updated
05/06/2024
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