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General NPI Number Information
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NPI Number | 1073658555
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Entity Type | Individual
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Provider Name | JOHN DALE CRAWFORD B.S.,D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 4217 CLOUD SPRINGS RD
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City | RINGGOLD
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State | GA
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Zip | 30736-8413
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Country | US
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Telephone | 706-891-1011
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Fax | 706-891-1013
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Provider Business Mailing Address
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Address Line | PO BOX 2190
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City | FT OGLETHORPE
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State | GA
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Zip | 30742-0190
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Country | US
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Telephone | 706-891-1011
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Fax | 706-891-1013
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4681
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License Number State | GA
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