Individual
ANTHONY MARK CROSSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4321 S LEE ST, BUFORD, GA 30518-5776
(678) 565-6500
Mailing address
4321 S LEE ST, BUFORD, GA 30518-5776
(678) 565-6500
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
056-R-1624
GA
372600000X
Adult Companion
067-R-1624
GA
3747P1801X
Personal Care Attendant
067-R-1624
GA
374U00000X
Home Health Aide
067-R-1624
GA
376K00000X
Nurse's Aide
Primary
067-R-1624
GA
Other
Enumeration date
09/30/2018
Last updated
09/30/2018
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