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NPI Code Detail

MEDICARE: CRAWFORD LONG HOSPITAL

MEDICARE: CRAWFORD LONG HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy
23336S0011XSpecialty Pharmacy

General Provider Information

NPI Number : 1427669670
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRAWFORD LONG HOSPITAL
Provider Business Mailing Address
First Line : 550 PEACHTREE ST NE STE 1760
Second Line :
City : ATLANTA
State : GA
Zip : 30308-2262
Country : US
Telephone Number : 404-686-5020
Fax Number : 404-686-3927
Provider Business Practice Location Address
First Line : 550 PEACHTREE ST NE STE 1760
Second Line :
City : ATLANTA
State : GA
Zip : 30308-2262
Country : US
Telephone Number : 404-686-5020
Fax Number : 404-686-3927
Authorized Official
Title or Position : HOSPITAL CFO
Name : GREG ANDERSON
Credential :
Telephone Number : 404-686-2823
Provider Enumeration Date : 08/12/2020
Last Update Date : 11/16/2020

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Directions to “CRAWFORD LONG HOSPITAL ” Practice Location

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