Individual
MR. JOHN CICERO CRAWFORD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
3941 JOHN HOPKINS CT, DECATUR, GA 30034-5709
(770) 808-6054
(404) 616-1973
Mailing address
80 JESSE HILL JR DR SE, GRADY MEMORIAL HOSPITAL, ATLANTA, GA 30303
(404) 616-6867
(404) 616-1973
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001539
GA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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