Most Relevant Information
Provider Data
| NPI Number: | 1003495870 |
| Provider Name: | TERESA CRAYTON |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/07/2021 |
| Last Updated: | 04/07/2021 |
Provider Practice Location
919 LAWYERS LN
COLUMBUS
GA
319063129
Practice Location Phone/Fax
| Phone: | 7062563242 |
| Fax: |
Provider Mailing Location
5660 SCENIC HTS
MANCHESTER
GA
318166843
Provider Mailing Phone/Fax
| Phone: | 7064279870 |
| Fax: |