Individual
STEPHEN A CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4330 S LEE ST, BUFORD, GA 30518-3072
(770) 410-9116
Mailing address
4330 S LEE ST, BUFORD, GA 30518-3072
(770) 410-9116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
052548
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10038111
AMERIGROUP
GA
01
—
11099
KAISER
GA
01
—
196610
BCBS OF GEOGIA
GA
01
—
198020
BCBS OF GEORGIA
GA
01
—
333401
WELLCARE OF GEORGIA
GA
05
—
746575587
—
GA
05
—
746575587B
—
GA
05
—
746575587C
—
GA
Enumeration date
02/14/2006
Last updated
01/04/2022
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