Provider Demographics
NPI:1083945000
Name:CRAWFORD, JOHN H (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:H
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 MALL BLVD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-0539
Mailing Address - Country:US
Mailing Address - Phone:912-342-8559
Mailing Address - Fax:
Practice Address - Street 1:712 MALL BLVD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31525-0539
Practice Address - Country:US
Practice Address - Phone:912-342-8559
Practice Address - Fax:912-574-5946
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00507600111N00000X
GACHIR010784111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor