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MS. CRYSTAL M EDDS CRNP
Adolescent Medicine >> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1306060801
Individual Registrant:MS. CRYSTAL M EDDS CRNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
125B VICTORY DR SWAINSBORO, GA 30401-3234 US
Tel: 478-237-5850 Fax: 478-237-5855
Tel: 478-237-5850 Fax: 478-237-5855
Contact information for business:
125B VICTORY DR SWAINSBORO, GA 30401-3234 US
Tel: 478-237-5850 Fax: 478-237-5855
Tel: 478-237-5850 Fax: 478-237-5855
Registration Information:
NPI: 1306060801
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2080A0000X | Allopathic & Osteopathic Physicians Pediatrics Adolescent Medicine | GA | RN134734NP |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
