Individual
DR. AUDREY SHIELDS CRUMBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
821 N. COBB ST., MILLEDGEVILLE, GA 31061
(478) 454-3795
(478) 454-3969
Mailing address
213 O'CONNER DRIVE, MILLEDGEVILLE, GA 31061
(478) 454-5908
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
053031
GA
207R00000X
Internal Medicine Physician
053031
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429736064D
—
GA
Enumeration date
10/02/2006
Last updated
03/28/2019
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