Doctor Name: | JOHN C CRAWLEY |
NPI Number: | 1659370252 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 100548 |
Business Practice Address: | 580 W Mclean St Saint Pauls, NC - 283841421 |
Business Phone Number: | 9106153570 |
Business Fax Number: | |
Mailing Address: | 580 W Mclean St, Attn John Crawley SAINT PAULS |
State: | NC |
Postal Code: | 283841421 |
Phone Number: | 9106153570 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 04/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 100548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |