Individual
MATTHEW SHANE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5356 REYNOLDS ST, STE 505, SAVANNAH, GA 31405-6016
(912) 356-1515
(912) 644-0756
Mailing address
5356 REYNOLDS ST, STE 505, SAVANNAH, GA 31405-6016
(912) 356-1515
(912) 644-0756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006776
GA
Other
Enumeration date
05/06/2013
Last updated
04/19/2016
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