Organization
CRANDALL EYE PHYSICIANS AND SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JANE CRANDALL MD (OWNER AND OPERATOR)
(912) 559-2467
Entity
Organization
Contact information
Practice address
136 W. CHERRY ST., JESUP, GA 31545
(912) 559-2467
(912) 559-2473
Mailing address
136 W. CHERRY ST., JESUP, GA 31545
(912) 559-2467
(912) 559-2473
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
067898
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125049A
—
GA
Enumeration date
05/21/2012
Last updated
11/20/2015
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