Individual
JAMES EMERY CROWNOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 446-5941
(706) 721-9286
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
074274
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003165823E
—
GA
05
—
003165823F
—
GA
05
—
GA2126
—
SC
Enumeration date
06/01/2010
Last updated
08/22/2018
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