Doctor Name: | DR. GREGORY ROBERT CRAWLEY |
NPI Number: | 1194716423 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 042037 |
Business Practice Address: | 5 Medical Dr Ne Cartersville, GA - 301218003 |
Business Phone Number: | 7703868604 |
Business Fax Number: | 7703862503 |
Mailing Address: | 5 Medical Dr Ne, CARTERSVILLE |
State: | GA |
Postal Code: | 301218003 |
Phone Number: | 7703868604 |
Fax Number: | 7703862503 |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 06/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 042037 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |