Provider Demographics
NPI:1225635329
Name:CROWSON, ADAM JAMES (PA-C)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:JAMES
Last Name:CROWSON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5827 HIGHWAY 189 N
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:FL
Mailing Address - Zip Code:32531-2501
Mailing Address - Country:US
Mailing Address - Phone:850-758-5227
Mailing Address - Fax:
Practice Address - Street 1:5115 N PALAFOX ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-2932
Practice Address - Country:US
Practice Address - Phone:850-378-8773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical