Individual
DENNA CRUTCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
829 REDAN WAY, LOCUST GROVE, GA 30248-7082
(678) 232-3246
Mailing address
829 REDAN WAY, LOCUST GROVE, GA 30248-7082
(678) 232-3246
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN043813
GA
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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