Provider Demographics
NPI:1326587437
Name:CRAWFORD & CRAWFORD SERVICES LLC
Entity Type:Organization
Organization Name:CRAWFORD & CRAWFORD SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-643-3364
Mailing Address - Street 1:179 CHEROKEE ST
Mailing Address - Street 2:
Mailing Address - City:THOMSON
Mailing Address - State:GA
Mailing Address - Zip Code:30824-7437
Mailing Address - Country:US
Mailing Address - Phone:678-643-3364
Mailing Address - Fax:706-595-3350
Practice Address - Street 1:179 CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:THOMSON
Practice Address - State:GA
Practice Address - Zip Code:30824-7437
Practice Address - Country:US
Practice Address - Phone:678-643-3364
Practice Address - Fax:706-595-3350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA13396234347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARLC5RLC5Medicare PIN