Individual
MR. MALCOLM CRENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 CARPENTER DR NE # 400, ATLANTA, GA 30328
(678) 460-0345
Mailing address
270 CARPENTER DR STE 400, SANDY SPRINGS, GA 30328-4933
(678) 460-0345
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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