Mark a. Crump, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28957 Issued in GA

Legal business name

MARK A. CRUMP, MD, PC

Practice address

708 S 8TH St
Griffin, GA 30224-4827

Phone

(770) 228-5402

Fax

(770) 412-6917

NPI assigned

Feb 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark A Crump, MD

Title

President

Phone

(770) 228-5402

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710029947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244827",
            "telephone_number": "770-228-5402",
            "fax_number": "770-412-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244827",
            "telephone_number": "770-228-5402",
            "fax_number": "770-412-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. CRUMP, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-228-5402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "28957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magusiak & Morgan, LLP
• David Anthony Magusiak, DMD
• Osara Dhevmi Malalasekara, M.D.
• Adrianna Mallett
• Louis Mameli, M.D.
• Mark J Henson DPM PC
• Dyke Marler
• Marq D'S LLC
• Edmund Marsh, PHYSICAL THERAPIST
• Sharon Marsh, PHYSICAL THERAPIST

• Internal Medicine Physician in Griffin, GA
• Providers in Griffin, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.