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Individual

JEFFREY B CROWDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2061 BEVERLY RD, GAINESVILLE, GA 30501-2034
(770) 532-4444
Mailing address
2061 BEVERLY RD, GAINESVILLE, GA 30501-2034
(770) 532-4444
(210) 697-2026

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
056415
GA
207W00000X
Ophthalmology Physician
Q1386
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
217380036D
GA
Enumeration date
06/15/2005
Last updated
06/22/2023
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