| NPI | 1093438111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY G CRAWFORD Owner 772-258-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-03-16 |