Individual
KEVIN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, DEPARTMENT OF RADIOLOGY, SUITE D125A, ATLANTA, GA 30322-1059
(404) 712-4686
(404) 712-7908
Mailing address
1364 CLIFTON RD NE, DEPARTMENT OF RADIOLOGY, SUITE D125A, ATLANTA, GA 30322-1059
(404) 712-4686
(404) 712-7908
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
007748
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
05/23/2019
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