Brown, Crystal Lynn
Brown, Crystal Lynn is an sole proprietor health care provider with primary practice located at 701 Bluebird Blvd , Fort Valley GA 31030-5085. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brown, Crystal Lynn can be contacted via phone (478) 827-1971.Contact Information
Primary practice address
701 Bluebird Blvd
Fort Valley GA 31030-5085
Phone: (478) 827-1971
Fax: (478) 827-1973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036348 | Georgia |
Profile Details
| NPI number | 1063431716 |
|---|---|
| LBN Legal business name | Brown, Crystal Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Feb 14th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063431716 | NPPES |
| Georgia | MEDICAID | 00554111A |
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