Individual
PATRICK T CRIMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2225 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
(229) 391-4508
Mailing address
2225 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
(229) 391-4508
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
039314
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000647732J
—
GA
Enumeration date
07/04/2006
Last updated
03/17/2018
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