CRYSTAL MILLER PROUD

NORFOLK, VA
NPI1013159177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: VA  0101258310)
Additional Taxonomies2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: CA  A117087)
2084N0008X Psychiatry & Neurology, Neuromuscular Medicine
(Licence: VA  0101258310)
Enumeration Date2009-04-03
Last Update Date2015-10-19
Business Address
Dr. CRYSTAL MILLER PROUD M.D.
850 SOUTHAMPTON AVE
NORFOLK, VA 23510-1021
Phone number: 757-668-9920
Mailing Address
Dr. CRYSTAL MILLER PROUD M.D.
850 SOUTHAMPTON AVE
NORFOLK, VA 23510-1021
Phone number: