Healthcare Provider Details

I. General information

NPI: 1407767718
Provider Name (Legal Business Name): CRAWFORD LONG HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5665 PEACHTREE DUNWOODY RD. STE 150
ATLANTA GA
30342
US

IV. Provider business mailing address

5665 PEACHTREE DUNWOODY RD. STE 150
ATLANTA GA
30342
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-2656
  • Fax:
Mailing address:
  • Phone: 404-778-2656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: CARLA D CASHIO
Title or Position: CORPORATE DIRECTOR
Credential:
Phone: 404-686-1811