Thomas Richard Crutchfield, FNP-C Valid NPI

Individual provider · Family Nurse Practitioner · Ludowici, GA

NPI

1306565460

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

254229 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2022-08-23

Last updated

2023-08-04