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Individual

MR. MARCUS H. CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3450 ACWORTH DUE WEST ROAD, BUILDING 200, SUITE 220, KENNESAW, GA 30144
(770) 794-6643
(770) 794-6683
Mailing address
3450 ACWORTH DUE WEST ROAD, BUILDING 200, SUITE 220, KENNESAW, GA 30144
(770) 794-6643
(770) 794-6683

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
058734
GA
208200000X
Plastic Surgery Physician
Primary
58734
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
721385595A
GA
Enumeration date
06/14/2007
Last updated
07/17/2015
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