RANDALL TERRY CRAWFORD

VIDALIA, GA
NPI1740678739
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN195783)
Enumeration Date2014-12-30
Last Update Date2015-05-13
Business Address
Mr. RANDALL TERRY CRAWFORD
101 HARRIS INDUSTRIAL BLVD SUITE A
VIDALIA, GA 30474-8852
Phone number: 912-535-3500
Mailing Address
Mr. RANDALL TERRY CRAWFORD
PO BOX 407
VIDALIA, GA 30475-0407
Phone number: 912-537-4986