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General NPI Number Information
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NPI Number | 1356421150
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Entity Type | Individual
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Provider Name | ANTHONY CRAWFORD D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | CRAWFORD CHIROPRACTIC CENTER 1109 SUMMIT AVE
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City | GREENSBORO
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State | NC
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Zip | 27405
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Country | US
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Telephone | 336-373-8344
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Fax | 336-217-8437
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Provider Business Mailing Address
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Address Line | 308 W MONTCASTLE DR
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City | GREENSBORO
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State | NC
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Zip | 27406-5827
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Country | US
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Telephone | 336-379-7871
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Fax |
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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 | 2154
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License Number State | NC
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