Individual
MARQUITTA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1160 MONTICELLO ST SW, COVINGTON, GA 30014-2328
(770) 939-9179
(770) 621-3083
Mailing address
1160 MONTICELLO ST SW, COVINGTON, GA 30014-2328
(770) 939-9179
(770) 621-3083
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
207397
GA
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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