Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 78805 | GA |
N | 2086S0129X | Vascular Surgeon | D0071255 | MD |
N | 2086S0129X | Vascular Surgeon | P-220946 | MA |
NPI | 1033372610 |
---|---|
Provider Name | Dr. Robert S Crawford |
First Address | Atlanta, GA 30342-1774 |
Second Address | Atlanta, GA 30342-1774 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2008 |
Last Update Date | 27/09/2017 |