Organization
FREDDY N. GATON
Active
Other names
Crawford Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDDY N GATON M.D. (PHYSICIAN/PRACTICE ADMINISTRATOR)
(478) 836-2819
Entity
Organization
Contact information
Practice address
106 MCCRARY AVE, ROBERTA, GA 31078
(478) 836-2819
(478) 836-2823
Mailing address
PO BOX 1010, ROBERTA, GA 31078-1010
(478) 836-2819
(478) 836-2823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040386
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665948B
—
GA
Enumeration date
07/11/2008
Last updated
07/28/2008
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