Crawford, Stacy

Crawford, Stacy is an sole proprietor health care provider with primary practice located at 11909 Mcauley Drive Suite 100 A2, Savannah GA 31419. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Crawford, Stacy can be contacted via phone (912) 354-8331.

Contact Information

Primary practice address
11909 Mcauley Drive Suite 100 A2 Savannah GA 31419
Phone: (912) 354-8331
Fax: (912) 352-9782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN186504 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 186504 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 186504 Georgia

Profile Details

NPI number 1720471519
LBN Legal business name Crawford, Stacy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2015
Last updated Apr 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720471519 NPPES
Georgia MEDICAID 003192540A

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