Healthcare Provider Details

I. General information

NPI: 1730090010
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

6335 HOSPITAL PKWY STE 200
JOHNS CREEK GA
30097
US

IV. Provider business mailing address

6335 HOSPITAL PKWY STE 200
JOHNS CREEK GA
30097
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-8240
  • Fax:
Mailing address:
  • Phone: 404-778-8240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

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