Provider / Organization | NPI | Date Certified |
---|---|---|
DONALD CRUMP | 1336732072 | 2021-02-13 |
Donald Crump is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1336732072. Registration indicates Donald Crump is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation (Physical Medicine & Rehabilitation, ) (Specialist Network, ) (Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Mr. Donald Crump PTA |
Practice Office Address | 6851 ROSWELL RD APT Q29 ATLANTA, GA US |
Practice Office Telephone | 4044340911 |
Mailing Address | 6851 ROSWELL RD APT Q29 ATLANTA, GA 303282492 US |
Business Telephone | 4047842710 |
Atlanta ga [] | Atlanta | Health Information Exchange (HIE) |
Code | Practice | License No State |
---|---|---|
208100000X PRIMARY | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Specialist Network Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians | PTA004619
GA |
182278 | OTHER | GA | PIN # |