Individual provider · Type 1 NPI
Antequa Crumley
Driver · Roswell, GA
NPI number
1821876756
Active
Practice location
105 Rosemont Ct
Roswell, GA 30076-3831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 050609843 (GA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1821876756
Antequa Crumley's National Provider Identifier is 1821876756, issued on Sep 20, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Roswell, GA. The record was last updated on Sep 20, 2023.