Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crisp General Internal Medicine Inc

Organization Medical Specialty Clinic/Center · NPI 1669632014

Crisp General Internal Medicine Inc is a Medical Specialty Clinic/Center in Cordele, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

416 E 4th Ave Ste B
Cordele, GA 31015-3729
Phone: (229) 273-8501
Fax: (229) 273-2515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 060593 (GA)

Record details

NPI number1669632014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Holloway — President · (229) 273-4989
NPI enumeratedJune 10, 2008
Last updated in NPPESJune 10, 2008
Mailing address1801 Quail Run, Cordele, GA 31015-2096