Individual
DR. FLORENCE R LECRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1 BALTIMORE PL NW, SUITE 400, ATLANTA, GA 30308-2116
(404) 885-9675
(404) 759-2212
Mailing address
222 12TH ST NE, UNIT 2007, ATLANTA, GA 30309-4001
(404) 234-8244
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
033222
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000436499J
—
GA
05
—
000436499M
—
GA
05
—
000436499N
—
GA
01
—
156961100
U.S. DEPT. OF LABOR
GA
01
—
20-02624
UNITED HEALTHCARE
GA
01
—
52576387
BCBS OF GA
GA
01
—
52576387-009
BLUE CROSS BLUE SHIELD
GA
01
—
9975585
UNIVERSAL HEALTHCARE
GA
01
—
N359526
WELLCARE
GA
01
—
P00362500
RAIL ROAD MEDICARE
GA
Enumeration date
07/25/2006
Last updated
06/11/2015
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