Organization
CRAWFORD PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS H CRAWFORD M.D. (CEO/OWNER)
(770) 794-6643
Entity
Organization
Contact information
Practice address
3450 ACWORTH DUE WEST RD NW STE 220, KENNESAW, GA 30144-1001
(770) 794-6643
(770) 618-9617
Mailing address
3450 ACWORTH DUE WEST RD NW STE 220, KENNESAW, GA 30144-1001
(770) 794-6643
(770) 794-6683
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
058734
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721385595A
—
GA
Enumeration date
05/28/2008
Last updated
03/18/2025
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