Provider Demographics
NPI:1407959869
Name:GAINES-CRAWFORD, YOLANDA R (CNM)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:R
Last Name:GAINES-CRAWFORD
Suffix:
Gender:F
Credentials:CNM
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-364-7000
Mailing Address - Fax:
Practice Address - Street 1:20 GLENLAKE PKWY
Practice Address - Street 2:DEPARTMENT OF OBSTETRICS & GYNECOLOGY
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3473
Practice Address - Country:US
Practice Address - Phone:770-677-6049
Practice Address - Fax:770-677-7331
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2022-01-06
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN126965207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q28539Medicare UPIN
42BBBRBMedicare ID - Type Unspecified