Crawford, Randall Terry
Crawford, Randall Terry is an individual health care provider with primary practice located at 101 Harris Industrial Blvd Suite A, Vidalia GA 30474-8852. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Crawford, Randall Terry can be contacted via phone (912) 535-3500.Contact Information
Primary practice address
101 Harris Industrial Blvd Suite A
Vidalia GA 30474-8852
Phone: (912) 535-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN195783 | Georgia |
Profile Details
| NPI number | 1740678739 |
|---|---|
| LBN Legal business name | Crawford, Randall Terry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2014 |
| Last updated | May 13th, 2015 - about 9 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.
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