Basic Information
Provider Information
NPI: 1851331177
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CRAWFORD
FirstName: CHRIS
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: PAC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1869
Address2:  
City: FLETCHER
State: NC
PostalCode: 287321869
CountryCode: US
TelephoneNumber: 8286876282
FaxNumber: 8286508076
Practice Location
Address1: 21 TURTLE CREEK DR
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288033152
CountryCode: US
TelephoneNumber: 8282744555
FaxNumber: 8282748348
Other Information
ProviderEnumerationDate: 06/07/2006
LastUpdateDate: 10/02/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XPA9101172FLN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
363A00000X001005016NCY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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