Individual
DR. WILLIAM JAKE CROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
603 N SAINT AUGUSTINE RD STE B, VALDOSTA, GA 31601-3809
(229) 834-9366
Mailing address
4563 BORING POND RD, VALDOSTA, GA 31606-1947
(229) 834-9366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010320
GA
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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