Organization
WILLIAM KEITH CRUMMEY DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM KEITH CRUMMEY DMD PC (OWNER - PRESIDENT OF CORP.)
(912) 285-5967
Entity
Organization
Contact information
Practice address
1601 ALICE ST, SUITE B, WAYCROSS, GA 31501-4532
(912) 285-5967
(912) 285-0762
Mailing address
1601 ALICE ST, SUITE B, WAYCROSS, GA 31501-4532
(912) 285-5967
(912) 285-0762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10017
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10017
LIC#
GA
Enumeration date
07/26/2006
Last updated
07/31/2008
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