Provider Demographics
NPI:1023899655
Name:CRAWFORD, RONALD RAYNARD JR
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:RAYNARD
Last Name:CRAWFORD
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4707 BYERS RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-2705
Mailing Address - Country:US
Mailing Address - Phone:336-327-8255
Mailing Address - Fax:
Practice Address - Street 1:4707 BYERS RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-2705
Practice Address - Country:US
Practice Address - Phone:336-327-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide