Organization
CARLA CRAWFORD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA E CRAWFORD M.D., P.C (OWNER)
(678) 904-5211
Entity
Organization
Contact information
Practice address
315 BOULEVARD NE, SUITE 555, ATLANTA, GA 30312-1200
(678) 904-5212
(770) 939-3331
Mailing address
PO BOX 1379, GRIFFIN, GA 30224-0033
(678) 904-5211
(770) 939-3331
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
54479
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
563610431B
—
GA
Enumeration date
04/09/2007
Last updated
07/01/2008
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