Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENNIE EDWARD CRUDUP, LPN
ActiveBENNIE EDWARD CRUDUP, LPN is a Licensed Practical Nurse healthcare provider located in DECATUR, Georgia. NPI 1336261627 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · DECATUR, GA
Registration Details
- NPI Number
- 1336261627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2007 (19.343070030082 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LPN067878 (GA)
Practice Information
- Address
-
440 WINN WAYRM 2118DECATUR, GA, 300301715Browse GA providers · Browse ZIP 30030
- Phone
- 4045087857
- Fax
- 4045087826
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in DECATUR, GA
| Name | Credential | NPI |
|---|---|---|
| CHERYL BOWMAN JOHNSON | LPN | 1184709438 |
| MRS. CHRISTINE FORD-JACKSON | L.P.N. | 1235252297 |
| PATRICIA RIPPY | — | 1104040435 |
| SHERRY MARIE TOMPKINS | LPN | 1295952901 |
| MR. GASNER JOHN FLEURY | LPN | 1285853606 |
| TOMEKA BONSHELL FULLER | LPN | 1639399066 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.