Earl Douglas Crew Jr Od

NPI #1154593614 in Thomasville, Georgia

Provider Information

NPI Number: 1154593614
Entity Type: Organization
Organization Name: Earl Douglas Crew Jr Od
Subpart: Yes (part of a larger organization)
Parent Organization: EARL DOUGLAS CREW JR OD
Primary Specialty: Optometrist
Enumeration Date: Mar 25, 2008
Last Updated: Mar 25, 2008

Practice Location

Address: 15043 US HIGHWAY 19 SOUTH
City: Thomasville
State: Georgia
ZIP Code: 31792
Phone: (229) 226-8833

Authorized Official

Name: DR. EARL DOUGLAS CREW JR., OD
Title: OWNER
Phone: (229) 226-8833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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