| NPI | 1396234282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL NP-C BERRY Owner 404-903-8019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA NCO-000001) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |