person
Mrs. Diana P Crowder, PAC
Medical Physician Assistant in South Hill, Virginia
NPI 1174524516

Diana P Crowder is a Medical Physician Assistant based in Richmond, VA and is specialized in Medical. Diana P Crowder practices in South Hill, VA and has the professional credentials of PAC. The NPI Number for Diana P Crowder is 1174524516 and holds a License No. 0110001616 (Virginia).

The current practice location address for Diana P Crowder is 1755 N Mecklenburg Ave, South Hill, VA and can be reached out via phone at 434-447-3151 and via fax at 434-584-5023.

Location: 1755 N Mecklenburg Ave, South Hill, VA, 23291-1734
person
Provider Profile Details
NPI Number
1174524516
Provider Name
Diana P Crowder
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
1755 N Mecklenburg Ave, South Hill, VA, 23291-1734
Phone Number
434-447-3151
Fax Number
434-584-5023
Provider Enumeration Date
08/09/2005
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010117852 05 VA
institution
Provider Business Practice Location Address Details
Address
1755 N Mecklenburg Ave
City
State
Zip
23970-4080
Phone Number
434-447-3151
Fax Number
434-584-5023
person
Provider Business Mailing Address Details
Address
1755 N Mecklenburg Ave
City
State
Zip
23970-4080
Phone Number
434-447-3151
Fax Number
434-584-5023
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110001616 (Virginia)
Definition
Definition to come...
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