Individual
MR. BENJAMIN H CRAPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, RN
Contact information
Practice address
6 MATHIS DR NW, ROME, GA 30165-1242
(850) 591-1115
Mailing address
2138 JOE FRANK HARRIS PKWY NW, CARTERSVILLE, GA 30120-4843
(850) 591-1115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN225995
GA
2255A2300X
Athletic Trainer
AT0011049
GA
Other
Enumeration date
02/09/2009
Last updated
05/04/2016
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