Individual
MR. STEVE LOGAN CRUMLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
631 PROFESSIONAL DR STE 200, LAWRENCEVILLE, GA 30046-3371
(678) 312-3500
(678) 312-3529
Mailing address
631 PROFESSIONAL DR STE 200, LAWRENCEVILLE, GA 30046-3371
(678) 312-3500
(678) 312-3529
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
11678
GA
Other
Enumeration date
04/20/2023
Last updated
06/30/2023
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