Individual
JESSICA N CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2171 NORTHLAKE PKWY, BUILDING 3, SUITE 100, TUCKER, GA 30084-4104
(404) 296-8000
(770) 493-6842
Mailing address
2171 NORTHLAKE PKWY, BUILDING 3, SUITE 100, TUCKER, GA 30084-4104
(404) 296-8000
(770) 493-6842
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004650
GA
Other
Enumeration date
06/16/2006
Last updated
05/09/2013
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