Individual
MR. DONALD CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6851 ROSWELL RD APT Q29, ATLANTA, GA 30328-2492
(404) 434-0911
Mailing address
6851 ROSWELL RD APT Q29, ATLANTA, GA 30328-2492
(404) 784-2710
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA004619
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182278
PIN #
GA
Enumeration date
02/13/2021
Last updated
02/13/2021
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