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Bennie Edward Crudup, LPN
Licensed Practical Nurse in Decatur, Georgia
NPI 1336261627

Bennie Edward Crudup is a Licensed Practical Nurse based in Decatur, GA. Bennie Edward Crudup practices in Decatur, GA and has the professional credentials of LPN. The NPI Number for Bennie Edward Crudup is 1336261627 and holds a License No. LPN067878 (Georgia).

The current practice location address for Bennie Edward Crudup is 440 Winn Way, Decatur, GA and can be reached out via phone at 404-508-7857 and via fax at 404-508-7826. You can also correspond with Bennie Edward Crudup through the mailing address at 440 WINN WAY, DECATUR, GA - 30030-1715 (mailing address contact number: 404-508-7857).

Location: 440 Winn Way, Decatur, GA, 30030-1715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336261627
Provider Name
Bennie Edward Crudup
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
440 Winn Way, Decatur, GA, 30030-1715
Phone Number
404-508-7857
Fax Number
404-508-7826
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
440 Winn Way
City
Decatur
State
Georgia
Zip
30030-1715
Phone Number
404-508-7857
Fax Number
404-508-7826
person
Provider Business Mailing Address Details
Address
440 Winn Way
City
Decatur
State
Georgia
Zip
30030-1715
Phone Number
404-508-7857
Fax Number
404-508-7826
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LPN067878 (Georgia)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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