Individual provider · NPI-1

Gregory Crandall

Spec/Tech, Pathology, Cytotechnology · Atlanta, GA

NPI number1972362689
StatusActive
Last updated in NPPESMar 15, 2024

Details

NPI
1972362689
Entity type
Individual (NPI-1)
Name
Gregory Crandall
Sex
Male
Sole proprietor
No
Enumeration date
Mar 15, 2024
Certification date
Mar 15, 2024
Last updated
Mar 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246QC2700X Spec/Tech, Pathology, Cytotechnology––Yes

Practice location

3300 Buckeye Rd Ste 178
Atlanta, GA 30341-4232

Phone 770-458-6101

Mailing address

Po Box 942388
Atlanta, GA 31141-2388

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