Provider Demographics
NPI:1194578955
Name:CRAWFORD, BENJAMIN LOUIS (MD)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:LOUIS
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONE HEALTH BEHAVIORAL HEALTH
Mailing Address - Street 2:931 THIRD STREET - 2ND FLOOR RESIDENCY
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405
Mailing Address - Country:US
Mailing Address - Phone:336-832-9626
Mailing Address - Fax:
Practice Address - Street 1:CONE HEALTH BEHAVIORAL HEALTH HOSPITAL
Practice Address - Street 2:700 WALTER REED DRIVE
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403
Practice Address - Country:US
Practice Address - Phone:336-832-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program