Individual
MRS. NICOLE CASIMIRA CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 SMITH ST, LAGRANGE, GA 30240-2745
(706) 812-4381
(706) 812-4032
Mailing address
303 SMITH ST, LAGRANGE, GA 30240-2745
(706) 812-4381
(706) 812-4032
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5770
GA
Other
Enumeration date
02/09/2010
Last updated
10/25/2010
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