Crawford, Virginia

Crawford, Virginia is an individual health care provider with primary practice located at 6414 Highway 98 W Suite 120, Hattiesburg MS 39402. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is her primary health care specialty. Crawford, Virginia can be contacted via phone (601) 296-2833.

Contact Information

Primary practice address
6414 Highway 98 W Suite 120 Hattiesburg MS 39402
Phone: (601) 296-2833
Fax: (601) 261-1156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10481 Mississippi
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 10481 Mississippi

Profile Details

NPI number 1518003342
LBN Legal business name Crawford, Virginia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Aug 10th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518003342 NPPES
Mississippi MEDICAID 06873041

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