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Individual

MRS. TIA TONETTE HALEY-CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
7 GOOSE NECK RD, PORT WENTWORTH, GA 31407-6001
(191) 227-2989
Mailing address
7 GOOSE NECK RD, PORT WENTWORTH, GA 31407-6001

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP212350
GA

Other

Enumeration date
01/24/2026
Last updated
01/24/2026
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