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Individual

EDWARD COLEMAN CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1601 INLET AVE, TYBEE ISLAND, GA 31328-2678
(912) 786-8866
(912) 786-8866
Mailing address
PO BOX 2678, 1601 INLET AVE, TYBEE ISLAND, GA 31328-2678
(912) 786-8866
(912) 786-8866

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
038719
GA
208D00000X
General Practice Physician
Primary
038719
GA

Other

Enumeration date
09/24/2006
Last updated
10/02/2007
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