Provider Demographics
NPI:1548288608
Name:CRAWMER, JAMES LESLIE (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:LESLIE
Last Name:CRAWMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3151 WILLIAMS RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-5618
Mailing Address - Country:US
Mailing Address - Phone:706-507-7417
Mailing Address - Fax:706-507-7419
Practice Address - Street 1:3151 WILLIAMS RD
Practice Address - Street 2:SUITE D
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-5618
Practice Address - Country:US
Practice Address - Phone:706-507-7417
Practice Address - Fax:706-507-7419
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007555111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA7365OtherGRP
GA7365OtherGRP
GAV06838Medicare UPIN