Individual
DR. VIRGINIA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6414 HIGHWAY 98 W, SUITE 120, HATTIESBURG, MS 39402
(601) 296-2833
(601) 261-1156
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 296-2833
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10481
MS
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
10481
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06873041
—
MS
Enumeration date
01/29/2007
Last updated
08/10/2020
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