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John Cicero Crawford II, P.A.-C

Physician Assistant, Medical in Decatur, GA. Individual provider (NPI-1).

NPI number1578754792
StatusActive
Last updated in NPPESAug 5, 2007

Details

NPI
1578754792
Entity type
Individual (NPI-1)
Name
Mr. John Cicero Crawford II
Credential
P.A.-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 5, 2007
Last updated
Aug 5, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical001539GAYes

Practice location

3941 John Hopkins Ct
Decatur, GA 30034-5709

Phone 770-808-6054 · Fax 404-616-1973

Mailing address

80 Jesse Hill Jr Dr Se
Grady Memorial Hospital
Atlanta, GA 30303

Phone 404-616-6867 · Fax 404-616-1973

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