NPI 1366163883

Janique Shontia Crafter

Practitioner Driver Macon, GA

Practice location

Address: 3926 Lindsey Dr, Macon, GA 31206-3941
Phone: (678) 608-6131

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 052358346 (GA)

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Registry record

NPI: 1366163883
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Sep 2022
Record last updated: 5 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.