Individual
ALAN GREGORY CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
24 MARKS ROAD, OCEAN SPRINGS, MS 39564
(228) 872-8873
(228) 872-8876
Mailing address
P O BOX 3488, DEPT 05-115, TUPELO, MS 38803-3488
(228) 872-8873
(678) 553-8152
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA013
MS
363A00000X
Physician Assistant
PA00013
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126840
—
MS
Enumeration date
03/23/2006
Last updated
11/20/2017
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