Individual
SHANA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
528 WATER BIRCH WAY, MARIETTA, GA 30066-5820
(678) 612-2700
(678) 840-0083
Mailing address
528 WATER BIRCH WAY, MARIETTA, GA 30066-5820
(678) 612-2700
(678) 840-0083
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
GA208201
GA
372600000X
Adult Companion
GA208201
GA
373H00000X
Day Training/Habilitation Specialist
GA208201
GA
3747P1801X
Personal Care Attendant
GA208201
GA
374U00000X
Home Health Aide
GA208201
GA
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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