Individual
THOMAS M CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 PROCTOR ST, STATESBORO, GA 30458-1351
(912) 764-8200
(912) 489-2954
Mailing address
201 DONEHOO ST, PO BOX 932, STATESBORO, GA 30458-5120
(912) 764-8200
(912) 489-2954
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
024663
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000283962B
—
GA
Enumeration date
05/18/2006
Last updated
12/09/2016
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