Smith, Crystal A
Smith, Crystal A is an individual health care provider with primary practice located at 2450 Old Milton Pkwy Ste 201 , Alpharetta GA 30009-2521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Crystal A can be contacted via phone (470) 267-0360.Contact Information
Primary practice address
2450 Old Milton Pkwy Ste 201
Alpharetta GA 30009-2521
Phone: (470) 267-0360
Fax: (770) 999-2691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 036068939 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN309424 | Georgia |
Profile Details
| NPI number | 1659317675 |
|---|---|
| LBN Legal business name | Smith, Crystal A |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | May 17th, 2024 - about last year |
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 | 1659317675 | NPPES |
| Illinois | MEDICAID | 036068939 |
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