MIRANDA WALLACE CRAWFORD

AUGUSTA, GA
NPI1477893758
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN192423)
Enumeration Date2013-02-22
Last Update Date2014-05-12
Business Address
-- MIRANDA WALLACE CRAWFORD NP
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-4581
Mailing Address
-- MIRANDA WALLACE CRAWFORD NP
1499 WALTON WAY SUITE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-724-6100