Individual
DR. DARYL O CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
334 SMITH AVE, THOMASVILLE, GA 31792-5533
(229) 227-1595
(229) 227-1385
Mailing address
334 SMITH AVE, THOMASVILLE, GA 31792-5533
(229) 227-1595
(229) 227-0530
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
56036
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720019553A
—
GA
05
—
720019553B
—
GA
05
—
720019553C
—
GA
05
—
720019553D
—
GA
05
—
720019553E
—
GA
05
—
720019553F
—
GA
05
—
720019553G
—
GA
05
—
720019553H
—
GA
05
—
720019553I
—
GA
Enumeration date
12/26/2006
Last updated
09/13/2018
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