Healthcare Provider Details

I. General information

NPI: 1225243603
Provider Name (Legal Business Name): MONICA HANDY CRAWFORD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 DIXIE ST
CARROLLTON GA
30117-4408
US

IV. Provider business mailing address

100 GREENWAY BLVD BOX C
CARROLLTON GA
30117
US

V. Phone/Fax

Practice location:
  • Phone: 770-812-5003
  • Fax: 770-812-5832
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number52669
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: