Individual
CARMANEKE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 DELLVUE PL NW, ROME, GA 30165-2326
(706) 728-2415
Mailing address
46 DELLVUE PL NW, ROME, GA 30165-2326
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
6987
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42
—
GA
Enumeration date
08/13/2014
Last updated
08/13/2014
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