Provider Demographics
NPI:1598811655
Name:CRAWFORD, ROBERT C (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 N ELM ST
Mailing Address - Street 2:CAROLINA WOMANCARE P.A.
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3918
Mailing Address - Country:US
Mailing Address - Phone:336-889-5422
Mailing Address - Fax:336-889-3202
Practice Address - Street 1:712 N ELM ST
Practice Address - Street 2:CAROLINA WOMANCARE P.A.
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3918
Practice Address - Country:US
Practice Address - Phone:336-889-5422
Practice Address - Fax:336-889-3202
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14634207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
25408OtherBCBS
NC8925408Medicaid
25408OtherBCBS
202164AMedicare PIN