Individual
STACY CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11909 MCAULEY DRIVE, SUITE 100 A2, SAVANNAH, GA 31419
(912) 354-8331
(912) 352-9782
Mailing address
836 E. 65TH STREET, SUITE 22, SAVANNAH, GA 31405
(912) 819-7878
(912) 819-3320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN186504
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
186504
GA
363LG0600X
Gerontology Nurse Practitioner
186504
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003192540A
—
GA
Enumeration date
03/18/2015
Last updated
04/24/2020
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