Elizabeth Jane Crandall
Ophthalmologist
136 W. Cherry St
Jesup
, Georgia 31545-0130
Elizabeth Jane Crandall
Ophthalmologist
136 W. Cherry St
Jesup
, Georgia 31545-0130
(912) 559-2473
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Elizabeth Jane Crandall
- 136 W. Cherry St
- Jesup, GA
- Zip : 31545-0130
- Fax : (912) 559-2473
- Phone : (912) 559-2467
Second Address
- Elizabeth Jane Crandall
- 136 W. Cherry St
- Jesup, GA
- Zip : 31545-0130
- Fax : (912) 559-2473
- Phone : (912) 559-2467
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 067898 | GA |
National Provider Identifier
| NPI | 1023266442 |
|---|---|
| Provider Name | Elizabeth Jane Crandall |
| First Address | Jesup, GA 31545-0130 |
| Second Address | Jesup, GA 31545-0130 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2008 |
| Last Update Date | 19/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003125049A | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.