Individual
MRS. REGINA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
Mailing address
8 WAVERLY DR, FORT MITCHELL, AL 36856-4427
(334) 560-6345
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN226833
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN226833
GA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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