Crawford, Grace
Crawford, Grace is an individual health care provider with primary practice located at 1 Freedom Way , Augusta GA 30904-6258. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Crawford, Grace can be contacted via phone (706) 733-0188.Contact Information
Primary practice address
1 Freedom Way
Augusta GA 30904-6258
Phone: (706) 733-0188
Fax: (706) 729-5922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 060571 | Georgia |
Profile Details
| NPI number | 1174584221 |
|---|---|
| LBN Legal business name | Crawford, Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Nov 5th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174584221 | NPPES |
| New York | MEDICAID | 02641514 | |
| New York | MEDICAID | 1174584221 | |
| New York | Other | 223858253 |
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